- Enrollment id
- O20070725000456
- Associate id
- 4183725898
- Organization name
- JACKSON HEIGHTS CARE CENTER, LLC
- Associate id - owner
- 7416268776
- Type - owner
- I
- Role code - owner
- 34
- Role text - owner
- 5% OR GREATER DIRECT OWNERSHIP INTEREST
- Association date - owner
- 2009-01-01
- First name - owner
- MARY
- Last name - owner
- FAHEY
- Title - owner
- MEMBER
- Percentage ownership
- 16.69
- Enrollment id
- O20070725000456
- Associate id
- 4183725898
- Organization name
- JACKSON HEIGHTS CARE CENTER, LLC
- Associate id - owner
- 7416268776
- Type - owner
- I
- Role code - owner
- 44
- Role text - owner
- OTHER
- Association date - owner
- 2009-01-01
- First name - owner
- MARY
- Last name - owner
- FAHEY
- Title - owner
- MEMBER
- Percentage ownership
- 16.66