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07/17/2020PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION NUMBER15K172OMB NO. 0938039 (X2) MULTIPLE CONSTRUCTION A. BUILDING(X3) DATE SURVEY00COMPLETED06/23/2020B. WING STREET ADDRESS, CITY, STATE, ZIP CODNAME OF PROVIDER OR SUPPLIER2904 S REED ROAD KOKOMO, IN 46902ADAPTIVE NURSING AND HEALTHCARE SERVICES KOKOMO (X4) IDSUMMARY
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Locate the form or document you need to fill out regarding 2904 S Reed Road.
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Gather all necessary information about 2904 S Reed Road, including its address, ownership, and any relevant legal documents.
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Understanding the 2904 S Reed Road Form: A Comprehensive Guide

Overview of the 2904 S Reed Road form

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Purpose of the form: To collect essential information related to property ownership and financial status.
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Origin and use cases: Primarily used in real estate transactions for property assessments and loan applications.
Common industries: Real estate, finance, insurance, and property management.
Legal implications: Non-compliance can lead to financial penalties and legal disputes.

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Personal information section

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Financial information section

In the financial information section, details about income, assets, and liabilities are collected. Gathering accurate information here is crucial; recommend upfront calculations and checks to ensure everything reported reflects actual financial status.

Property information section

The property information section is dedicated to specifics about the property located at 2904 S Reed Road. Details such as property type, size, and current market value must be included. Providing accurate descriptions here is essential for valuation and subsequent transactions.

Conditions and terms

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2904 S Reed Road is typically an address that may refer to a specific location in a city or town, possibly associated with a residential or commercial property.
The individuals or entities associated with the property at 2904 S Reed Road, such as property owners or tenants, may be required to file specific documents related to this address, depending on local laws and regulations.
Filling out forms related to 2904 S Reed Road typically involves providing necessary personal or property-related details in the designated sections of the relevant forms; instructions may vary based on the type of filing required.
The purpose of the address 2904 S Reed Road may vary based on its classification (e.g., residential, commercial) and local zoning laws. It serves as a location for housing, business operations, or other activities.
Required information for reports related to 2904 S Reed Road may include ownership details, property description, usage type, financial information, and compliance with local regulations.
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