Form DAAS-150 Provider Agency Information - North Carolina

Form DAAS-150 Provider Agency Information - North Carolina

What Is Form DAAS-150?

This is a legal form that was released by the North Carolina Department of Health and Human Services - a government authority operating within North Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DAAS-150?A: Form DAAS-150 is a document used to collect information about provider agencies in North Carolina.

Q: What is the purpose of Form DAAS-150?A: The purpose of Form DAAS-150 is to gather information about provider agencies to ensure compliance with state regulations and to maintain accurate records.

Q: Who is required to fill out Form DAAS-150?A: Provider agencies in North Carolina are required to fill out Form DAAS-150.

Q: What kind of information is collected on Form DAAS-150?A: Form DAAS-150 collects information such as the agency's name, address, contact information, services provided, and staff qualifications.

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Form Details:

  • Released on February 6, 2007;
  • The latest edition provided by the North Carolina Department of Health and Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DAAS-150 by clicking the link below or browse more documents and templates provided by the North Carolina Department of Health and Human Services.

Download Form DAAS-150 Provider Agency Information - North Carolina

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  • Form DAAS-150 Provider Agency Information - North Carolina, Page 1
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