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PRINTED: 09/01/2015 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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How to fill out 2220 iowa street
01
Begin by gathering all necessary information and documents for filling out the address form.
02
Start with the street number, providing the exact numerical value of 2220 in the appropriate field.
03
Move on to specifying the street name, which in this case is 'Iowa'.
04
Input the street type, which is 'Street' for this address.
05
Fill out any additional address information, such as apartment number or floor, if applicable.
06
Include the city name, which is not provided in the given question.
07
Specify the state, 'Iowa', in the corresponding field.
08
Enter the ZIP code for the address, if available.
09
Double-check all entered information for accuracy and completeness.
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Submit the filled-out form as required.
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2220 Iowa Street is an address located in a specific city or town.
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To fill out 2220 Iowa Street, you may need to provide specific information about the address, such as the owner's name, contact details, and any relevant documents or reports.
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The information required to be reported on 2220 Iowa Street may include details about the property, the owner or tenant, any activities or events taking place at the address, and any relevant regulations or requirements.
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