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Get State Of Michigan 1050 Form

A license for the above referenced facility type. Instructions and additional materials are included which will assist you in completing the application. Please return all of the completed and required application materials to: Michigan Department of Human Services Bureau of Children and Adult Licensing Licensing Unit P.O. Box 30650 Lansing, MI 48909-8150 For additional information, please contact the Licensing Unit at (866) 685-0006 or Fax at (517) 284-9709. Thank you. Enclosure P.O. BOX 3065.

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