Reference: Ref-05268
| Reference Name: | Home Medical Equipment Provider, Request to Amend License for Change of Name and/or Address, AHCA Form 3110-1020, October 2014 |
| Agency: | 59 Agency for Health Care Administration 59A Health Facility and Agency Licensing |
| Original Document(s): |
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| Modified Document(s): | No Modified document(s). | |||||
| Description: | Form needed for change of name and/or address for Home Medical Equipment Provider | |||||
Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.
Rules/Notices using this Reference Material| Notice / Adopted |
Description | ID | Publish Date |
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|---|---|---|---|---|
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Licensure Requirements | 15916456 |
Effective: 05/04/2015 |
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