Florida Department of State and Division of Library and Information Services

Reference: Ref-06175

Reference Name: AHCA Form 3110-5003 Intermediate Care Facilities for Developmentally Disabled July 2014
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Modified Document(s):
12/28/2015 The footer of the form indicates that it is incorporated by reference in rule 59A-26.003; the rule reference should be ...
Original Document(s):
11/16/2015 AHCA Form 3110-5003 Intermediate Care Facilities for Developmentally Disabled July 2014
Description: AHCA Form 3110-5003 Intermediate Care Facilities for Developmentally Disabled July 2014

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted		 Section Description ID Publish
Date
View Text Final
59A-26.002 		Licensure Procedure, Fees and Exemptions 16860557 Effective:
12/21/2015



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