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Distribution Instructions for NFs Hospice Community ICF/IDs SNFs and Swingbed Mail email or fax a copy to the DHS Centralized Facility Eligibility Unit. For clarification PMIC must indicate if this is PMIC mental health or PMIC substance abuse. Do not complete this section for hospice. Keep a copy. Centralized Facility Eligibility Unit Imaging Center 1 417 E. Kanesville Blvd. Council Bluffs IA 51503-4470 Fax 515-564-4040 email facilities dhs. 1. Member Data Name Date Entered Facility Social...
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