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Home and Community Based Services (HCBS) Provider Quality SelfAssessment 2022Instructions This form is required for organizations enrolled to provide HCBS Waiver or Habilitation services in section
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1217 Hwy 10 W refers to a specific highway designation in the United States, but it may also relate to a particular form or document used in certain contexts, including tax or regulatory filings.
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The purpose of 1217 Hwy 10 W is often to collect data for taxation or regulatory purposes, facilitating compliance with local, state, or federal laws.
Generally, information such as identification details, financial records, and other relevant data pertinent to the filing entity is required.
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