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COMMUNITY CARE LICENSING DIVISION …

STATE OF california - HEALTH AND HUMAN services AGENCYCALIFORNIA department OF social SERVICESCOMMUNITY CARE LICENSING DIVISIONADMINISTRATIVE organization (This side is for corporations and limited liability companies only. See reverse for public agencies,partnerships, and other associations.)INSTRUCTIONS:This form must be updated and submitted to the LICENSING Agency each time there is a changein partners, officers or changes in the corporation or limited liability company as provided in theCallifornia Code of Regulations Title 22, Section 80034(a)(2), or 87235(a)(5), or 101185(a)(2).

state of california - health and human services agency california department of social services community care licensing division administrative organization

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  Social, Services, Department, Organization, California, California department of social services, Division, Administrative, Division administrative organization

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