- Enrollment id
- O20080206000538
- Associate id
- 4385732841
- Organization name
- SENIOR CARE PROVIDENCE, LLC
- Associate id - owner
- 9032684451
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2019-07-01
- Enrollment id
- O20080206000538
- Associate id
- 4385732841
- Organization name
- SENIOR CARE PROVIDENCE, LLC
- Associate id - owner
- 9032684451
- Type - owner
- I
- Role code - owner
- 86
- Role text - owner
- INDIRECT OWNERSHIP INTEREST
- Association date - owner
- 2019-07-01
- Percentage ownership
- 100