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PRINTED:05/02/2019
FORMAPPROVEDMinnesotaDepartmentofHealth
STATEMENTOFDEFICIENCIES
ANDPLANOFCORRECTION(X1) PROVIDER/SUPPLIER/CIA
IDENTIFICATIONNUMBER:A.BUILDING:___
B.WING___00075
NAMEOFPROVIDERORSUPPLIER
VIKINGMANORNURSINGHOME(X2)MULTIPLECONSTRUCTION(X3)RESURVEY
COMPLETED
04/10/2019STREETADDRESS,CITY,
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How to fill out streetaddresscitystatezipcode
How to fill out streetaddresscitystatezipcode
01
Start by writing the street address where the location is located.
02
Provide the city where the location is situated.
03
Include the state where the city is located.
04
Finish by filling in the zip code of the location.
Who needs streetaddresscitystatezipcode?
01
Individuals or organizations that require a physical address for mail delivery or identification purposes.
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What is streetaddresscitystatezipcode?
Streetaddresscitystatezipcode refers to a combined format for presenting address information that includes the street address, city, state, and ZIP code.
Who is required to file streetaddresscitystatezipcode?
Individuals or organizations required to report address information in official documents or forms, typically for taxation or registration purposes, must file streetaddresscitystatezipcode.
How to fill out streetaddresscitystatezipcode?
To fill out streetaddresscitystatezipcode, write the street address first, followed by the city name, the state abbreviation, and finally the ZIP code, ensuring each part is clearly indicated.
What is the purpose of streetaddresscitystatezipcode?
The purpose of streetaddresscitystatezipcode is to accurately identify a specific location for mailing, identification, or administrative purposes.
What information must be reported on streetaddresscitystatezipcode?
The required information includes the complete street address, the name of the city, the two-letter state abbreviation, and the correct ZIP code.
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