State ID    30381 6-Passenger;  Installed:  04/07/2016  
Owner
(96680)
HTI-SANDY FORKS LLC
216 ASHVILLE AVENUE STE 60
CARY NC 27518
Occupant
(96681)
SANDY FORKS MOB
5920 SIX FORKS ROAD
RALEIGH NC 27609
Cty: WAKE  - C
Billing
(96679)
HEALTHCARE MANAGEMENT OF AMERICA
216 ASHVILLE AVENUE STE 60
CARY NC 27518
Rpt Nbr Invoice Insp Date Insp Type Inspector Cert Status Nbr Viols
23066-107-123   03/07/2023 2-Routine 107 - HOLDER 2-Re-Isssued 0
22052-100-5647   02/21/2022 2-Routine 100 - PERRY 2-Re-Isssued 0
20114-81-3311   04/23/2020 2-Routine 81 - KEETON 2-Re-Isssued 3
18204-49-0818   07/23/2018 2-Routine 49 - HAYES 2-Re-Isssued 0
17107-49-2625   04/17/2017 2-Routine 49 - HAYES 2-Re-Isssued 1
16098-49-4661   04/07/2016 1-New 49 - HAYES 1-Issued 0