Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 9931589405 · 2 matching records

Enrollment id
O20160203002793
Associate id
2769786201
Organization name
DRAGONFRUIT HOLDINGS LLC
Associate id - owner
9931589405
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2023-12-07
First name - owner
JOHN
Last name - owner
BENNETT
Title - owner
ADMINISTRATOR
Enrollment id
O20160203002793
Associate id
2769786201
Organization name
DRAGONFRUIT HOLDINGS LLC
Associate id - owner
9931589405
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2023-12-07
First name - owner
JOHN
Last name - owner
BENNETT
Title - owner
ADMINISTRATOR

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