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*NOTICE * THIS APPLICATION WAS REVISED IN JULY 2016 PLEASE READ CAREFULLY Initial License Application To Operate an Assisted Living Facility Regulations affecting the application for licensure of
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This application was revised to update information or make necessary changes.
The applicant or authorized representative is required to file this application.
The application can be filled out online or by submitting a physical form with all required information.
The purpose of this application is to ensure accurate and up-to-date information is on file.
Information such as contact details, changes in circumstances, or any other relevant updates.
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