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FACILITY NAMEEnhanced Services Facility Information Changes Did facility information change? License NUMBERNoIf yes, complete applicable change(s) below. NEW FACILITY NAME (ATTACH LETTER FROM LICENSEE
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How to fill out enhanced services facility information

01
Start by gathering all the necessary information about the enhanced services facility.
02
Begin filling out the information by providing the facility's basic details such as name, address, contact information, and website.
03
Specify the types of enhanced services offered by the facility and provide a brief description of each service.
04
Provide details about the facility's staff and their qualifications, including certifications and licenses.
05
Include information about any specialized equipment or technology used in the facility.
06
If applicable, provide information about any partnerships or collaborations with other organizations or professionals.
07
Lastly, review the filled-out form for accuracy and completeness before submitting it.

Who needs enhanced services facility information?

01
Enhanced services facility information is needed by government agencies, regulatory bodies, and interested individuals or organizations involved in healthcare planning and development.
02
Healthcare providers, insurers, and researchers may also require this information to evaluate the services and capacities of different facilities.
03
Additionally, patients and their families may seek this information to make informed decisions about the facilities they choose for their healthcare needs.
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Enhanced services facility information includes details about the services offered at a particular facility that go beyond basic services.
Enhanced services facility information must be filed by facilities that offer enhanced services.
Enhanced services facility information can be filled out by providing detailed descriptions of the enhanced services offered at the facility.
The purpose of enhanced services facility information is to provide transparency about the additional services available at a facility.
Enhanced services facility information must include descriptions of the enhanced services, any associated fees, and any limitations on availability.
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