[{"ENROLLMENT ID":"O20180307002816","ASSOCIATE ID":"7810258860","ORGANIZATION NAME":"GLOBAL ABBEVILLE LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"72","ROLE TEXT - OWNER":"ADP OF THE SNF","ASSOCIATION DATE - OWNER":"2017-03-10","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20180307002816","ASSOCIATE ID":"7810258860","ORGANIZATION NAME":"GLOBAL ABBEVILLE LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"86","ROLE TEXT - OWNER":"INDIRECT OWNERSHIP INTEREST","ASSOCIATION DATE - OWNER":"2018-02-01","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"9.32","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20200615001956","ASSOCIATE ID":"4587091376","ORGANIZATION NAME":"SOUTHERN HILLS REHAB CENTER LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"72","ROLE TEXT - OWNER":"ADP OF THE SNF","ASSOCIATION DATE - OWNER":"2015-10-01","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20200615001956","ASSOCIATE ID":"4587091376","ORGANIZATION NAME":"SOUTHERN HILLS REHAB CENTER LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"86","ROLE TEXT - OWNER":"INDIRECT OWNERSHIP INTEREST","ASSOCIATION DATE - OWNER":"2019-12-01","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"9.32","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20200807002066","ASSOCIATE ID":"4082039078","ORGANIZATION NAME":"GLOBAL EASTMAN LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"72","ROLE TEXT - OWNER":"ADP OF THE SNF","ASSOCIATION DATE - OWNER":"2015-10-01","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20200807002066","ASSOCIATE ID":"4082039078","ORGANIZATION NAME":"GLOBAL EASTMAN LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"86","ROLE TEXT - OWNER":"INDIRECT OWNERSHIP INTEREST","ASSOCIATION DATE - OWNER":"2020-07-01","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"9.32","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20201001001186","ASSOCIATE ID":"6800215427","ORGANIZATION NAME":"GLOBAL HIGHER CALL NURSING LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"72","ROLE TEXT - OWNER":"ADP OF THE SNF","ASSOCIATION DATE - OWNER":"2020-03-01","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20201001001186","ASSOCIATE ID":"6800215427","ORGANIZATION NAME":"GLOBAL HIGHER CALL NURSING LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"86","ROLE TEXT - OWNER":"INDIRECT OWNERSHIP INTEREST","ASSOCIATION DATE - OWNER":"2020-03-01","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"9.32","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20210115002366","ASSOCIATE ID":"7517370398","ORGANIZATION NAME":"GLOBAL FAIRLAND LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"72","ROLE TEXT - OWNER":"ADP OF THE SNF","ASSOCIATION DATE - OWNER":"2020-12-31","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20210115002366","ASSOCIATE ID":"7517370398","ORGANIZATION NAME":"GLOBAL FAIRLAND LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"86","ROLE TEXT - OWNER":"INDIRECT OWNERSHIP INTEREST","ASSOCIATION DATE - OWNER":"2020-12-31","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"9.32","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20210806002409","ASSOCIATE ID":"7113321522","ORGANIZATION NAME":"SELECTIS SPARTA LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"35","ROLE TEXT - OWNER":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","ASSOCIATION DATE - OWNER":"2021-06-21","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"9.32","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20210806002409","ASSOCIATE ID":"7113321522","ORGANIZATION NAME":"SELECTIS SPARTA LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"40","ROLE TEXT - OWNER":"CORPORATE OFFICER","ASSOCIATION DATE - OWNER":"2021-06-21","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"CEO OF SELECTIS HEALTH INC","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20210806002409","ASSOCIATE ID":"7113321522","ORGANIZATION NAME":"SELECTIS SPARTA LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"41","ROLE TEXT - OWNER":"CORPORATE DIRECTOR","ASSOCIATION DATE - OWNER":"2021-06-21","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"CHAIRMAN OF THE BOARD OF SELECTI","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20210806002409","ASSOCIATE ID":"7113321522","ORGANIZATION NAME":"SELECTIS SPARTA LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"43","ROLE TEXT - OWNER":"OPERATIONAL\/MANAGERIAL CONTROL","ASSOCIATION DATE - OWNER":"2021-06-21","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"MANAGER OF SELECTIS MANAGEMENT L","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20211006002279","ASSOCIATE ID":"5395143259","ORGANIZATION NAME":"SELECTIS WARRENTON LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"72","ROLE TEXT - OWNER":"ADP OF THE SNF","ASSOCIATION DATE - OWNER":"2015-10-01","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""},{"ENROLLMENT ID":"O20211006002279","ASSOCIATE ID":"5395143259","ORGANIZATION NAME":"SELECTIS WARRENTON LLC","ASSOCIATE ID - OWNER":"4688935638","TYPE - OWNER":"I","ROLE CODE - OWNER":"86","ROLE TEXT - OWNER":"INDIRECT OWNERSHIP INTEREST","ASSOCIATION DATE - OWNER":"2021-06-21","FIRST NAME - OWNER":"LANCE","MIDDLE NAME - OWNER":"","LAST NAME - OWNER":"BALLER","TITLE - OWNER":"","ORGANIZATION NAME - OWNER":"","DOING BUSINESS AS NAME - OWNER":"","ADDRESS LINE 1 - OWNER":"","ADDRESS LINE 2 - OWNER":"","CITY - OWNER":"","STATE - OWNER":"","ZIP CODE - OWNER":"","PERCENTAGE OWNERSHIP":"9.32","CREATED FOR ACQUISITION - OWNER":"","CORPORATION - OWNER":"","LLC - OWNER":"","MEDICAL PROVIDER SUPPLIER - OWNER":"","MANAGEMENT SERVICES COMPANY - OWNER":"","MEDICAL STAFFING COMPANY - OWNER":"","HOLDING COMPANY - OWNER":"","INVESTMENT FIRM - OWNER":"","FINANCIAL INSTITUTION - OWNER":"","CONSULTING FIRM - OWNER":"","FOR PROFIT - OWNER":"","NON PROFIT - OWNER":"","PRIVATE EQUITY COMPANY - OWNER":"","REIT - OWNER":"","CHAIN HOME OFFICE - OWNER":"","TRUST OR TRUSTEE - OWNER":"","OTHER TYPE - OWNER":"","OTHER TYPE TEXT - OWNER":"","PARENT COMPANY - OWNER":"","OWNED BY ANOTHER ORG OR IND - OWNER":""}]