- Enrollment id
- O20040707001575
- Associate id
- 2961480900
- Organization name
- EMPRESS CARE CENTER, LLC
- Associate id - owner
- 8527405877
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2022-11-09
- First name - owner
- CORY
- Last name - owner
- DIEBOLD
- Enrollment id
- O20040707001575
- Associate id
- 2961480900
- Organization name
- EMPRESS CARE CENTER, LLC
- Associate id - owner
- 8527405877
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2022-11-09
- First name - owner
- CORY
- Last name - owner
- DIEBOLD