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COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE PROVIDER NAME/ADDRESS: HEARTLAND HOME HEALTH CARE P.O. BOX 10086 TOLEDO, OH 43699-0086 PROVIDER S REPRESENTATIVE MARCIA FAUST RECIPIENTS INVOLVED:
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What is 003730121doc - services dpw?
003730121doc - services dpw is a document that is used to report information about services provided by the DPW (Department of Public Works).
Who is required to file 003730121doc - services dpw?
Any individual or organization that has provided services to the DPW is required to file 003730121doc - services dpw.
How to fill out 003730121doc - services dpw?
To fill out 003730121doc - services dpw, you need to provide information about the services you have provided to the DPW, including details such as the type of service, the date of service, and the amount charged.
What is the purpose of 003730121doc - services dpw?
The purpose of 003730121doc - services dpw is to gather information about the services provided to the DPW, which can be used for record-keeping, budgeting, and reporting purposes.
What information must be reported on 003730121doc - services dpw?
On 003730121doc - services dpw, you must report information such as the name and contact information of the service provider, the description of the services provided, the date of service, the duration of the service, and the total amount charged.
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