- Enrollment id
- O20230307001709
- Associate id
- 3173996428
- Organization name
- THE WOODS HEALTHCARE LLC
- Associate id - owner
- 9537194980
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2022-07-01
- First name - owner
- TIM
- Middle name - owner
- M
- Last name - owner
- SIMON
- Enrollment id
- O20230307001709
- Associate id
- 3173996428
- Organization name
- THE WOODS HEALTHCARE LLC
- Associate id - owner
- 9537194980
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2022-07-01
- First name - owner
- TIM
- Middle name - owner
- M
- Last name - owner
- SIMON
- Enrollment id
- O20230311000331
- Associate id
- 8820461916
- Organization name
- STONEGATE HEALTHCARE LLC
- Associate id - owner
- 9537194980
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2022-08-31
- First name - owner
- TIM
- Middle name - owner
- M
- Last name - owner
- SIMON
- Enrollment id
- O20230311000331
- Associate id
- 8820461916
- Organization name
- STONEGATE HEALTHCARE LLC
- Associate id - owner
- 9537194980
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2022-08-01
- First name - owner
- TIM
- Middle name - owner
- M
- Last name - owner
- SIMON
- Enrollment id
- O20230324002624
- Associate id
- 4981078326
- Organization name
- CROSSETT HEALTHCARE LLC
- Associate id - owner
- 9537194980
- Type - owner
- I
- Role code - owner
- 43
- Role text - owner
- OPERATIONAL/MANAGERIAL CONTROL
- Association date - owner
- 2022-08-01
- First name - owner
- TIM
- Middle name - owner
- M
- Last name - owner
- SIMON
- Enrollment id
- O20230324002624
- Associate id
- 4981078326
- Organization name
- CROSSETT HEALTHCARE LLC
- Associate id - owner
- 9537194980
- Type - owner
- I
- Role code - owner
- 72
- Role text - owner
- ADP OF THE SNF
- Association date - owner
- 2022-08-01
- First name - owner
- TIM
- Middle name - owner
- M
- Last name - owner
- SIMON