- Enrollment id
- O20100309000310
- Associate id
- 3971648478
- Organization name
- BELLHAVEN MANAGEMENT LLC
- Associate id - owner
- 7416437751
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2018-03-16
- First name - owner
- LUCIA
- Last name - owner
- WILLIS
- Enrollment id
- O20100309000310
- Associate id
- 3971648478
- Organization name
- BELLHAVEN MANAGEMENT LLC
- Associate id - owner
- 7416437751
- Type - owner
- I
- Role code - owner
- 63
- Role text - owner
- MANAGING CONTROL - GOVERNING BODY
- Association date - owner
- 2018-03-16
- First name - owner
- LUCIA
- Last name - owner
- WILLIS
- Title - owner
- GOVERNING BODY MEMBER
- Enrollment id
- O20100309000310
- Associate id
- 3971648478
- Organization name
- BELLHAVEN MANAGEMENT LLC
- Associate id - owner
- 7416437751
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2018-03-16
- First name - owner
- LUCIA
- Last name - owner
- WILLIS