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02/19/2020PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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State the purpose of the LLC, which could be real estate development, property management, or any other relevant activity.
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Indicate the effective date of the LLC, which is usually the date of filing the formation documents.
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Wyndmoor of Evansville LLC is a limited liability company based in Evansville, Indiana, which typically operates in the healthcare or assisted living sector, providing services such as residential living for seniors.
Those responsible for the management and financial operations of Wyndmoor of Evansville LLC, including owners and designated representatives, are required to file necessary documents and reports.
To fill out the forms for Wyndmoor of Evansville LLC, you will need to provide business information including the company name, registered address, owner information, and details related to financial operations, as well as any specific state-required disclosures.
The purpose of Wyndmoor of Evansville LLC is to operate a facility that provides residential care and supportive services for seniors and individuals needing assistance, fostering a community-oriented living environment.
Information that must be reported includes financial statements, ownership details, operational updates, compliance with state regulations, and any changes in management or business structure.
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