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NURSING FACILITY SERVICES APPLICATION AND CONTRACT Enrollment #HHS00000141. Identification Information Legal Name of Applicant Doing Business As (DBA) Name If different from Legal Name Attach a copy
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Enrollment hhs0000014 is a form required by the Health and Human Services department for certain healthcare providers.
Healthcare providers who meet specific criteria set by the HHS are required to file enrollment hhs0000014.
Enrollment hhs0000014 can be filled out online through the HHS website or submitted via mail with the required documentation.
The purpose of enrollment hhs0000014 is to gather necessary information from healthcare providers for regulatory and billing purposes.
Enrollment hhs0000014 typically requires information such as provider details, location, services offered, billing information, and accreditation.
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