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PRINTED: 07/06/2020 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:EVERGREEN VILLAGE AT BLOOMINGTON
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Start by gathering all the necessary documents and information such as identification proof, income details, and personal references.
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Evergreen Village at Bloomington is a housing community for seniors.
Residents and property owners at Evergreen Village at Bloomington are required to file.
Residents can fill out the forms provided by the housing community management.
The purpose of Evergreen Village at Bloomington is to provide housing and services for seniors.
Residents must report their income, assets, and any changes in their living situation.
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