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PRINTED: 12/16/2014 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: LOVING CARE AGENCY INC (X4)

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What is n 000?

n 000 is a form used for reporting certain information to the relevant authorities.

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Individuals or entities meeting specific criteria are required to file n 000.

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The purpose of n 000 is to gather and report specific information to the authorities.

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n 000 requires reporting of information such as income, expenses, and other relevant data.

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