Public record

CMS Skilled Nursing Facility All Owners

Associate id - owner: 9931674652 · 2 matching records

Enrollment id
O20220126003194
Associate id
5698167567
Organization name
HOLSTON MANOR SNF OPERATIONS LLC
Associate id - owner
9931674652
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2024-10-14
First name - owner
JOHNATHAN
Last name - owner
KELLY
Enrollment id
O20220126003194
Associate id
5698167567
Organization name
HOLSTON MANOR SNF OPERATIONS LLC
Associate id - owner
9931674652
Type - owner
I
Role code - owner
72
Role text - owner
ADP OF THE SNF
Association date - owner
2024-10-14
First name - owner
JOHNATHAN
Last name - owner
KELLY

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