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1.00PRINTED: 4/26/2017 FORM APPROVED Pennsylvania Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (POC)(XI) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION:
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Homewell of Souformastern Pennsylvania is a form that needs to be filed by certain individuals or entities in the state of Pennsylvania.
The individuals or entities that meet the criteria set by the state of Pennsylvania are required to file the Homewell of Souformastern Pennsylvania form.
Homewell of Souformastern Pennsylvania can be filled out online through the official website of the Pennsylvania state government or by submitting a physical form to the designated office.
The purpose of Homewell of Souformastern Pennsylvania is to report certain information related to home well ownership in the state for regulatory purposes.
The information that must be reported on Homewell of Souformastern Pennsylvania includes details about the ownership of the home well, its location, and other relevant data.
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