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Get OR In-Home Care Agency License Application 2014-2024

De name of parent agency and city where located. In addition, attach separate document identifying all subunits associated with the parent agency.): License #: Renewal application must be submitted at least 30 days prior to license expiration date (OAR 333-536-0025). Change request Effective date of change Change request Name/Address Effective date of change Service area** Administrator** Ownership* (attach resume and administrator application) Add/remove branch** Classification** Ot.

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