Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 7113234261 · 2 matching records

Enrollment id
O20211201002443
Associate id
9436549607
Organization name
2131 DAVIDSONVILLE OPCO, LLC
Associate id - owner
7113234261
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-05-10
First name - owner
CHARLES
Middle name - owner
M
Last name - owner
MUGERA
Enrollment id
O20211201002443
Associate id
9436549607
Organization name
2131 DAVIDSONVILLE OPCO, LLC
Associate id - owner
7113234261
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-05-10
First name - owner
CHARLES
Middle name - owner
M
Last name - owner
MUGERA

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