Florida Adult Day Care Center ADCC Operator Identification AHCAForm 3180-1036
Form Template
It is necessary to provide the Agency for Health Care Administration with information about the operator of an Adult Day Care Center.
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The applicant's social security number will be used to secure the proper identification of the person listed on the Florida Adult Day Care Center ADCC Operator Identification AHCA Form 3180-1036 app for licensure, criminal background checks, and the indexing of controlling interests. When running an adult day care or assisted living unit, applicants can fill out the app quickly and easily to provide the necessary information for certification. The app contains two sections: adult day care information and center operator personal information.
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