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DEPARTMENT OF HEALTH AND HUMAN SERVICES Licensure and Regulatory Services 255 Rockville Suite 100 1st Floor Rockville MD 20850 Phone 240-777-3986 / Fax 240-777-3088 www. Montgomerycountymd. gov/licensure Group Home License Application Application is hereby made for a license to operate A Group Home in Montgomery County MD LICENSES ARE NOT TRANSFERABLE FROM LOCATION TO LOCATION OR PERSON TO PERSON TODAY S DATE NEW Use Occupancy Certificate for New or Change of Ownership facilities must be...

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