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PRINTED: 06/22/2015 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: HOMETOWN HOME HEALTHCARE INC
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Start by obtaining the identification number form from your local government office or website.
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Fill out the form with accurate and up-to-date personal information, such as your full name, date of birth, and address.
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Provide any required supporting documents, such as a copy of your passport or birth certificate, to verify your identity.
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Double-check all the information to ensure its accuracy and completeness.
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Submit the filled-out form and supporting documents to the designated office or submit it online if an online option is available.
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Wait for the processing period, which can vary depending on your location and the efficiency of the government office.
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Make sure to securely store your identification number as it may be required for various official purposes.

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Identification number - in is a unique number assigned to individuals or entities for tax or other purposes in a specific country.
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The purpose of identification number - in is to track and monitor the tax obligations and activities of individuals or entities within the country.
Information such as name, address, contact details, income sources, and other relevant details may need to be reported on identification number - in.
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Relevant keywords

2015 Indiana licensure Relicensure X5 IAC QR X6 0RIP11 JE X2 LSC X3 X4 X1 CLIA REFERENCED DEFICIENCIES REGULATORY PREFIX continuation CORRECTIVE HEALTHCARE PRECEDED Medicaid compliance DEFICIENCY Vendor Census PROVIDER SUMMARY IDENTIFYING

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