Florida Department of State and Division of Library and Information Services

Reference: Ref-07061

Reference Name: Health Care Licensing Online Application, Home Health Agency, AHCA Form 3110-1011OL, March 2016
Agency: 59 Agency for Health Care Administration
59A Health Facility and Agency Licensing

Original Document(s):
6/7/2016 Application form used to renew a home health agency license online.
Modified Document(s): No Modified document(s).
Description: Application form used to renew a home health agency license online.

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 17763918 Effective:
07/27/2016



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