Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 7719105980 · 2 matching records

Enrollment id
O20180221002750
Associate id
1658632229
Organization name
GHC OF SAN RAFAEL, LLC
Associate id - owner
7719105980
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2017-07-20
First name - owner
MICHAEL
Middle name - owner
ANTHONY
Last name - owner
NIAKI
Enrollment id
O20180221002750
Associate id
1658632229
Organization name
GHC OF SAN RAFAEL, LLC
Associate id - owner
7719105980
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2017-07-20
First name - owner
MICHAEL
Middle name - owner
ANTHONY
Last name - owner
NIAKI

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