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PRINTED: 09/08/2021 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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The Indiana State Department typically refers to a state agency responsible for a specific area of governance or public service, such as health, education, environmental management, or revenue collection.
Individuals or entities that conduct business in Indiana, have taxable income, or are otherwise required to report specific information mandated by state law are typically required to file with the Indiana State Department in their respective areas.
To fill out forms for the Indiana State Department, you generally need to obtain the specific forms from the department's website, provide accurate information as requested, and follow the instructions provided for each form.
The purpose of various Indiana State Departments varies by agency but generally includes regulating specific industries, collecting taxes, providing public services, and ensuring compliance with state laws.
Information required to be reported may include financial data, business activity, personal identification details, and any other information relevant to the specific department's requirements.
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