Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 7214403674 · 2 matching records

Enrollment id
O20150921001233
Associate id
4486961646
Organization name
WILLIAMSBURG SERVICES LLC
Associate id - owner
7214403674
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-01-16
First name - owner
SHIMON
Last name - owner
TYBERG
Enrollment id
O20150921001233
Associate id
4486961646
Organization name
WILLIAMSBURG SERVICES LLC
Associate id - owner
7214403674
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2025-11-24
First name - owner
SHIMON
Last name - owner
TYBERG

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