Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 6800254285 · 3 matching records

Enrollment id
O20040110000201
Associate id
5799685384
Organization name
COUNTY OF DODGE
Associate id - owner
6800254285
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-07-21
First name - owner
KELLY
Middle name - owner
RAE
Last name - owner
ELLIS
Enrollment id
O20040110000201
Associate id
5799685384
Organization name
COUNTY OF DODGE
Associate id - owner
6800254285
Type - owner
I
Role code - owner
63
Role text - owner
MANAGING CONTROL - GOVERNING BODY
Association date - owner
2024-07-01
First name - owner
KELLY
Middle name - owner
RAE
Last name - owner
ELLIS
Title - owner
ADMINISTRATOR
Enrollment id
O20040110000201
Associate id
5799685384
Organization name
COUNTY OF DODGE
Associate id - owner
6800254285
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-07-01
First name - owner
KELLY
Middle name - owner
RAE
Last name - owner
ELLIS

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