Form preview

Get the free # Facility Name Address Line 1 City Zip Code County ... - CHFS - chfs ky

Get Form
Long Term Care Directory May 2017 # Facility Name Address Line 1 100295 AUBURN HEALTH CARE 139 PEARL ST. AUBURN 42206 LOGAN (270) 5424111 DIANE MILLER 100055 BAPTIST CONVALESCENT CENTER 120 MAIN STREET
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign facility name address line

Edit
Edit your facility name address line form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your facility name address line form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit facility name address line online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit facility name address line. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out facility name address line

Illustration

How to fill out facility name address line

01
Start by writing the name of the facility in the designated field.
02
Next, move on to the address line where you will fill in the complete address of the facility.
03
Make sure to include specific details such as the building number, street name, city, state, and postal code.
04
Double-check the accuracy of the information before submitting.
05
If there is an additional address line, provide any necessary supplemental address information.

Who needs facility name address line?

01
Anyone who is involved in filling out forms or applications that require the facility name and address.
02
Businesses and organizations that have physical locations or facilities that need to be identified.
03
Individuals or agencies that deal with mailing, shipping, or correspondence related to the facility.
04
Service providers and maintenance personnel who need to locate or visit the facility.
05
Government agencies or regulatory bodies that require facility information for official purposes.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.1
Satisfied
36 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

It's simple with pdfFiller, a full online document management tool. Access our huge online form collection (over 25M fillable forms are accessible) and find the facility name address line in seconds. Open it immediately and begin modifying it with powerful editing options.
You may do so effortlessly with pdfFiller's iOS and Android apps, which are available in the Apple Store and Google Play Store, respectively. You may also obtain the program from our website: https://edit-pdf-ios-android.pdffiller.com/. Open the application, sign in, and begin editing facility name address line right away.
Use the pdfFiller mobile app to complete your facility name address line on an Android device. The application makes it possible to perform all needed document management manipulations, like adding, editing, and removing text, signing, annotating, and more. All you need is your smartphone and an internet connection.
Facility name address line refers to the official name and physical location of a facility.
The facility owner or operator is required to file the facility name address line.
The facility name and address should be accurately filled out on the appropriate form provided by the regulatory agency.
The purpose of facility name address line is to provide an accurate identification of the facility location for regulatory and compliance purposes.
The information that must be reported on the facility name address line includes the official name of the facility and its physical address.
Fill out your facility name address line online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.