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This document is intended for licensees to report changes in contact or facility administrator of record (AOR) information to the Minnesota Board of Examiners for Nursing Home Administrators (BENHA)

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What is form to provide address?

Form to provide address is a document used to provide and update personal or business address information.

Who is required to file form to provide address?

Any individual or entity that needs to update or provide their address information is required to file the form.

How to fill out form to provide address?

To fill out the form, you need to provide your personal or business address information in the designated fields.

What is the purpose of form to provide address?

The purpose of the form is to ensure accurate and up-to-date address information for individuals or entities.

What information must be reported on form to provide address?

The form usually requires the reporting of the full address, including street name, number, city, state, and postal code.

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