Form 3613-A, SNF, NF, ICF/IID, ALF, DAHS and PPECC Provider Investigation Report with Cover Sheet

Texas Health and Human Services

This government document is issued by Texas Health and Human Services for use in Texas

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File Details: PDF (120 KB)
Downloads: 42
Source
https://www.hhs.texas.gov/regulations/forms/3000-3999/form-3613-a-snf-nf-icfiid-alf-dahs-ppecc-provider-investigation-report-cover-sheet

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