DADS Forms and Instructions
Form 3720-N
Form Record:
| Number: | 3720-N |
|---|---|
| Title: | Application for Nursing Facility License and Participation in Title XIX Medicaid |
| Effective Date: | 04-2013 |
| Instructions | 04-2013 |
Availability
| Word: | 3720-N.doc |
|---|---|
| Pdf: | 3720-N.pdf |
| Frequently Asked Questions: | 3720-N-QandA.pdf |