The Agency for Health Care Administration / Agency for Persons / State Limited Liability Company / Agency for Health Care Administration Case / Cogent Systems / Profit Public Corporation Corporation / /
Currency
USD / / /
Event
Product Recall / Business Partnership / Product Issues / /
Facility
Facility Name Change / Assisted Living Facility / /
IndustryTerm
annual sanitation/food hygiene pursuant / liability insurance coverage / bank statements / ownership applications / sanitation/food hygiene / requested information / law enforcement personnel / capacity increase applications / /
Organization
Department of State / Limited Nursing Service / Department of Financial Services / Department of Children and Family / Dept of Health / Assisted Living Unit / Florida Department of Law Enforcement / State Division of Corporations / officers of Management Company If / Licensee AUTHORITY / officers of Licensee If / officers of Licensee TITLE FULL NAME PERSONAL OR BUSINESS ADDRESS TELEPHONE NUMBER / officers of Management Company TITLE FULL NAME PERSONAL OR BUSINESS ADDRESS TELEPHONE NUMBER / Municipal Government / Department of State General Liability Insurance / Department of Children and Families / Department of Health / Division of Corporations / Medicare / /
Person
Payee / Pay Beds / / /
Position
Chief Financial Officer / attorney / board member / State Fire Marshall / Administrator / Administrator /Director and Chief Financial Officer / OWNERSHIP INTEREST Director/CEO President Vice President Secretary Treasurer / authorized representative / current Administrator / representative / facility representative / attorney for any ALF residents / Individual Administrator / officer / Florida Secretary / State Fire Marshal / /
Applicants must include the following attachments as stated in Chapters 408, Part II, and Chapter 429, Florida Statutes (F.S.), and Chapters 59A-35 and 58A-5, Florida Administrative Code (F.A.C.). Applications must be