Florida Department of State and Division of Library and Information Services

Reference: Ref-05422

Reference Name: Health Care Licensing Application, Home Health Agency, AHCA Form 3110-1011, July 2014
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Modified Document(s):
6/11/2015 Change made to section numbers only to correct duplication of Section 10. Previous Section 10. Geographic Service Area ...
Original Document(s):
4/30/2015 Application used to apply for or modify a home health agency license
Description: Application used to apply for or modify a home health agency license

Disclaimer: External links within the reference material are subject to change outside of the rulemaking process.

Rules/Notices using this Reference Material
Notice /
Adopted		 Section Description ID Publish
Date
View Text Final
59A-8.003 		Licensure Requirements 16060307 Effective:
06/16/2015



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