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PRINTED: 08/18/2015 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: LAKE PARK RESIDENTIAL CARE INC
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Start by obtaining the identification number form from the relevant government agency.
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Enter your personal details in the specified fields, such as full name, date of birth, and address.
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Identification number - in is a unique number assigned to individuals or entities for the purpose of identification.
Individuals or entities that meet certain criteria set by the governing body are required to file for an identification number - in.
To fill out an identification number - in, one must provide the necessary personal or entity information as requested by the governing body.
The purpose of an identification number - in is to uniquely identify individuals or entities for tax or regulatory purposes.
Information such as name, address, contact details, and other relevant personal or entity information must be reported on an identification number - in.
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