- Enrollment id
- O20130612000323
- Associate id
- 9032358692
- Organization name
- AVALON CARE CENTER - VA PAYSON LLC
- Associate id - owner
- 8426525197
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2022-12-21
- First name - owner
- JOSHUA
- Last name - owner
- NEWBY
- Enrollment id
- O20130612000323
- Associate id
- 9032358692
- Organization name
- AVALON CARE CENTER - VA PAYSON LLC
- Associate id - owner
- 8426525197
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2022-12-21
- First name - owner
- JOSHUA
- Last name - owner
- NEWBY