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PRINTED: 05/11/2015 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

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How to fill out nc dhsr licensed facilitiesnc

01

Access the NC DHSR website

02

Navigate to the 'Licensing' section

03

Select 'Licensed Facilities'

04

Choose the specific type of facility you need to fill out the application for

05

Download the application form

06

Fill out the application form with the required information

07

Submit the completed application form to the NC DHSR

Who needs nc dhsr licensed facilitiesnc?

01

Any individual or organization that wants to operate a licensed facility in North Carolina needs to fill out the NC DHSR Licensed Facilities application.

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What is nc dhsr licensed facilitiesnc?

NC DHSR licensed facilitiesnc refers to facilities in North Carolina that are licensed by the Department of Health Service Regulation (DHSR).

Who is required to file nc dhsr licensed facilitiesnc?

Facility operators and administrators are required to file nc dhsr licensed facilitiesnc.

How to fill out nc dhsr licensed facilitiesnc?

To fill out nc dhsr licensed facilitiesnc, operators and administrators must provide detailed information about the facility's operations, services, and compliance with regulations.

What is the purpose of nc dhsr licensed facilitiesnc?

The purpose of nc dhsr licensed facilitiesnc is to ensure that licensed facilities in North Carolina are operating in compliance with state regulations to protect the health and safety of residents.

What information must be reported on nc dhsr licensed facilitiesnc?

Information such as facility name, address, services provided, number of residents, compliance with regulations, and any incidents or complaints must be reported on nc dhsr licensed facilitiesnc.

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