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Get Form DHHS 224-B: Nursing Home Registration - Amazon Web ...

Or B4, please submit a letter along with this application setting forth the circumstances of such action. Version 16.3 2 /NC Department of Health and Human Services Form DHHS 224-B: Nursing Home Application for Registration If you answered Yes to questions B3 and/or B4, please submit a letter along with this application setting forth the circumstances of such action. Section C - Point of Contact A Drug Control Inspector will conduct an unannounced inspection of the applicant s faci.

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