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Changes in Facility, Units, Personnel: Mammography (Revised 11-09-20…
WebAug 26, 2024 · Section 1 – Type of Registration Section 2 – Facility Name / Address Information Section 3 – Preferred Mailing Address Information (Optional) Section 4 – Parent Company Name/Address... Web(Check the one most descriptive of facility type) 01 Ambulance. 02 Ambulatory Surgery Center 03 Ancillary Testing Site in Health Care Facility. 04 Assisted Living Facility 05 … the acoustic bpt ct
Food Facility Registration User Guide: Step-by-Step Instructions
WebOct 13, 2024 · Call the DMDC at 800-538-9552. They’re open Monday through Friday, 8:00 a.m. to 8:00 p.m. (closed on federal holidays). If you have hearing loss, call TTY: 866 … WebA. Agency Name and Address - This should be the address used for licensing and mailing purposes. Please note that mailing address with a P.O. Box cannot received certified letters from the Department. B. Facility Address - This address should be for the physical location where the business will be located/conducted(If different than mailing ... WebThe following items are required in order to apply for a change in ownership: A letter stating an intent to close the facility, the name and license number of the actually in charge and ultimately responsible, the date facility closure will become effective, the name and license number of the existing facility that is closing. theacousticmusicco co uk