Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 7416109475 · 2 matching records

Enrollment id
O20080206000538
Associate id
4385732841
Organization name
SENIOR CARE PROVIDENCE, LLC
Associate id - owner
7416109475
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-01-01
First name - owner
ELLEN
Last name - owner
SIEBENALER
Enrollment id
O20080206000538
Associate id
4385732841
Organization name
SENIOR CARE PROVIDENCE, LLC
Associate id - owner
7416109475
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2021-12-26
First name - owner
ELLEN
Last name - owner
SIEBENALER

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