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LHCSA Licensure Amendment Request Checklist)

LHCSA Licensure Amendment Request Checklist)

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Feb 08, 2022 · Date: February 8, 2022 DAL: DHCBS 22-02 ... • Closing a Site/License Surrender • Change of Address of Agency and/or Operator ... ) Name, Change of Assumed Name (d/b/a) or New Assumed Name (d/b/a) • License Reprint Attachment A (LHCSA Licensure Amendment Request Checklist) contains the list of

  Date, Closing, Amendment

Download LHCSA Licensure Amendment Request Checklist)


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