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REQUEST FOR TRANSFER OF HEALTH & WELFARE CONTRIBUTIONS MAIL THIS FORM TO:TO: BOARD OF TRUSTEESHeartland Health Care (#2158) Attn: Mike 3100 Broadway Blvd Ste 805 Kansas City, MO 641112413 P800.535.6373Pursuant
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Heartland Health Care 2158 is a form used to report health care information for a specific facility.
Health care providers and facilities are required to file Heartland Health Care 2158.
Heartland Health Care 2158 can be filled out by entering the required information about the health care facility.
The purpose of Heartland Health Care 2158 is to report health care information to the appropriate authorities.
The information reported on Heartland Health Care 2158 includes details about the facility's services, patients, and compliance with regulations.
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