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IMPACT Community Services, LLC. Referral Form (645) Date of Referral: Individuals Name (Full): Gender: M or F Medicaid #: DOB: Medicare #: Currently Address: Individual initiating the referral: Self
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Impact Community Services LLC is a community-based organization that provides various services to help improve the community.
Impact Community Services LLC is required to be filed by the owners or members of the limited liability company.
To fill out Impact Community Services LLC, the owners or members must provide information about the company's operations, finances, and ownership structure.
The purpose of Impact Community Services LLC is to serve the community by providing necessary services and support.
Information such as the company's name, address, purpose, management structure, and financial status must be reported on Impact Community Services LLC.
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