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State
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State Survey Agency Name & Address
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Contact Numbers
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Alabama
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Division of Licensure and Certification
Alabama Department of Public Health
PO Box 303017
Montgomery, Alabama 36130-3017
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Phone (334) 206-5077
Fax (334) 206-5088
EMail:
Elva Goldman
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Alaska
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Medical Assistance
Health Facilities Licensing and Certification
4730 Business Park Boulevard, Suite 18, Bldg H
Anchorage, Alaska 99503-7137
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Phone (907) 561-8081
Fax (907) 561-3011
EMail:
Shelbert Larsen
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Arizona
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Assurance/Licensure, Health/Child Care Rev Svcs
Arizona Department of Health Services
1647 East Morten Avenue, Suite 220
Phoenix, Arizona 85020
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Phone (602) 674-4200
Fax (602) 861-0645
EMail:
Mary Wiley
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Arkansas
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Health Facilities Services
Arkansas Department of Health
Freeway Medical Twr, 5800 W 10th Street, Ste 400
Little Rock, Arkansas 72204
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Phone (501) 661-2201
Fax (501) 661-2165
EMail:
Renee Mallory
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Office of Long Term Care, Medical Services
Arkansas Department of Human Services
PO Box 8059, Slot #402
Little Rock, Arkansas 72203-8059
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Phone (501) 682-8486
Fax (501) 682-6171
EMail:
Carol Shockley
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California
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Licensing and Certification Division
California Department of Health Services
PO Box 942732, 1800 3rd Street, Suite 210
Sacramento, California 94234-7320
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Phone (916) 445-3054
Fax (916) 445-6979
EMail:
Benda Klutz
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Colorado
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Health Facilities Division, Building A, 2nd Floor
Colorado Dept of Public Health & Environment
4300 Cherry Creek Drive, South
Denver, Colorado 80222-1530
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Phone (303) 692-2819
Fax (303) 782-4883
EMail:
Paul Daraghy
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Connecticut
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Division of Health Systems Regulation
Connecticut Department of Public Health
410 Capitol Avenue, MS#12HSR
Hartford, Connecticut 06134-0308
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Phone (860) 509-7400
Fax (860) 509-7543
Cynthia Denne
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Delaware
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Office of Health Facilities Licensing and Certification
2055 Limestone Road, Suite 200
Wilmington, Delaware 19808
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Phone (302) 995-8521
Fax (302) 577-6672
EMail:
Robert Smith
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District of Columbia
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Health Regulation Administration
825 North Capitol St. NE
Washington, DC 20002
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Phone (202) 442-5888
Fax (202) 442-9430
EMail:
Denise S. Pope, RN, MSN
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Florida
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Division of Health Quality Assurance
Agency for Health Care Administration
2727 Mahan Drive, Room 200
Tallahassee, Florida 32308-5403
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Phone (850) 487-2527
Fax (850) 487-6240
EMail:
Pete J. Buigas
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Georgia
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Office of Regulatory Services
Georgia Department of Human Resources
2 Peachtree Street NW, 21 st Floor, Suite 21-325
Atlanta, Georgia 30303-3167
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Phone (404) 657-5700
Fax (404) 657-5708
EMail:
Martin Rotter
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Hawaii
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Hawaii State Department of Health
Office of Health Care Assurance
601 Kamokila Blvd. Room 395
Kapolei, Hawaii 96707
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Gerald Chung
Phone (808) 692-7420
Fax (808) 692-7447
EMail:
HMFBMED
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Idaho
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Bureau of Facility Standards, Division of Medicaid
Idaho Department of Health and Welfare
450 West State Street, 3rd Floor
Boise, Idaho 83720-0036
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Phone (208) 334-1864
Fax (208) 332-1888
EMail:
Loreha Todd
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Laboratory Improvement Section, Division of Health
Idaho Department of Health and Welfare
2220 Old Penitentiary Road
Boise, Idaho 83712-8299
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Phone (208) 334-2235 x245
Fax (208) 334-2382
EMail:
D. Eisentrager
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Illinois
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Office of Health Care Regulation
Illinois Department of Public Health
525 West Jefferson Street, 5th Floor
Springfield, Illinois 62761
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Phone (217) 782-2913
Fax (217) 524-6292
EMail:
William Bell
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Indiana
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Health Care Regulatory Services Commission
Indiana State Department of Health
2 North Meridian Street, Section 3B
Indianapolis, Indiana 46204
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Phone (317) 233-7022
Fax (317) 233-7053
Gerald Coleman
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Iowa
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Health Facilities Division
Iowa Department of Inspections and Appeals
3rd Floor, Lucas State Office Building
Des Moines, Iowa 50319-0083
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Phone (515) 281-4233
Fax (515) 242-5022
EMail:
Marvin Tooman
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Kansas
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Bureau of Health Facility Regulation, Div of Health
Kansas Department of Health and Environment
900 SW Jackson, Suite 1001, Landon State Ofc Bldg
Topeka, Kansas 66612-1290
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Phone (913) 296-1240
Fax (913) 296-1266
EMAIL:
Joseph Kroll
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Kentucky
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Division of Licensing and Regulation
Kentucky Cabinet for Human Resources
275 East Main Street, 4E-A
Frankfort, Kentucky 40621-0001
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Phone (502) 564-2800
Fax (502) 562-6546
EMail:
Rebecca Cecil
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Louisiana
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Health Standards Section
Louisiana Department of Health and Hospitals
PO Box 3767
Baton Rouge, Louisiana 70821-3767
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Phone (225) 342-0415
Fax (225) 342-5292
EMail:
Lisa M. Deaton, RN
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Maine
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Division of Licensing and Certification
Maine Department of Human Services - BMS
11 State House Station, 35 Anthony Avenue
Augusta, Maine 04333-0011
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Phone (207) 624-5443
Fax (207) 624-5378
EMail:
Louis Doroqi
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Maryland
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Office of Licensing and Certification Programs
Maryland Department of Health and Mental Hygiene
55 Wade Ave.
Baltimore, Maryland 21228
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Phone (410) 402-8001
Fax (410) 402-8215
EMail:
Carol Benner
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Massachusetts
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Division of Health Care Quality
Massachusetts Department of Public Health
10 West Street, 5th Floor
Boston, Massachusetts 02111
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Phone (617) 753-8100
Fax (617) 753-8125
EMail:
Paul Dreyer
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Michigan
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Michigan Department of Consumer & Industry Svcs
Bureau of Health Systems
Division of Health Facility Licensing & Certification
PO Box 30664
G. Mennen Williams Bldg, 525 W Ottawa, 5th Floor
Lansing, Michigan 48909
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Phone (517) 241-2626
Fax (517) 241-2629
EMail:
Gladys Thomas
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Minnesota
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Facility and Provider Compliance Division
Minnesota Department of Health
PO Box 64900
St Paul, Minnesota 55164-0900
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Phone (651) 215-8715
Fax (651) 215-8710
EMAIL:
Linda Sutherland
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Mississippi
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Health Facilities Licensure and Certification
Mississippi State Department of Health
PO Box 1700
Jackson, Mississippi 39215-1700
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Phone (601) 354-7300
Fax (601) 354-7230
EMail:
Vanessa Phipps
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Missouri
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Division of Health Standards and Licensure
Missouri Department of Health
PO Box 570
912 Wildwood Drive
Jefferson City, Missouri 65102-0570
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Phone (573) 751-6271
Fax (573) 526-3621
EMAIL:
Lois Kollmeyer
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Institutional Services, Division of Aging
Missouri Department of Social Services
PO Box 1337
615 Howerton Court
Jefferson City, Missouri 65102-1337
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Phone (573) 526-0721
Fax (573) 751-8493
EMail:
Bryan Forbis
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Montana
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Quality Assurance, Certification Bureau
Montana Department of Health and Human Services
2401 Colonial Dr., 2nd Floor
PO Box 202953
Helena, Montana 59620-2953
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Phone (406) 444-2099
Fax (406) 444-3456
EMail:
Temporary until new Bureau Chief 4/10/00
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Nebraska
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Health Facility Licensure and Inspection
Nebraska Department of Health
PO Box 95007
Lincoln, Nebraska 68509-5007
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Phone (402) 471-0179
Fax (402) 471-0555
EMail:
Helen Meeks
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Nevada
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Bureau of Licensure and Certification/EMS
Nevada Department of Human Resources
1550 E College Parkway, Suite 158
Carson City, Nevada 89710
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Phone (702) 687-4475
Fax (702) 687-6588
EMAIL:
Richard Panelli
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Bureau of Licensure and Certification/EMS
Nevada Department of Human Resources
4220 South Mary Parkway, Suite 810
Las Vegas, Nevada 89119
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Phone (702) 486-6815
Fax (702) 486-6520
EMAIL:
Lisa Jones
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New Hampshire
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Ofc of Prog Support, Licensing & Regulation Svcs
Health Facilities Administration
New Hampshire Dept of Health & Human Services
129 Pleasant Street, Brown Bldg.
Concord, New Hampshire 03301
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Phone (603) 271-4966
Fax (603) 271-5590
EMail:
Raymond Rusin
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New Jersey
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Long Term Care Assessment and Survey
Division of Long Term Care Systems Development and Quality
New Jersey State Department of Health & Senior Services
PO 367
Trenton, New Jersey 08625-0367
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Phone (609) 633-8980
Fax (609) 633-9060
EMail:
Elinor Fritz
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Barbara Goldman, Director
Long Term Care Licensing and Certification
Division of Long Term Care Systems
New Jersey Department of Health and Senior Services
PO Box 367
Trenton, New Jersey 08625-0367
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Phone (609) 633-9034
email:
Barbara Goldman
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Beth Jacobs, Acting Director
Inspections, Compliance and Enforcement
Division of Health Care Systems Analysis
New Jersey Department of Health and Senior Services
PO Box 360
Trenton, New Jersey 08625-0360
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Phone: 609-341-3005
Fax 609-943-3013
email:
Beth Jacob
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New Mexico
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Bureau of Health Facility Licensing and Certification
New Mexico Department of Health
525 Camino de Los Marquez, Suite 2
Santa Fe, New Mexico 87501
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Phone (505) 827-4200
Fax (505) 827-4203
EMail:
Matthew Gervase
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New York
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Office of Continuing Care
New York State Department of Health
161 Delaware Avenue
Delmar, New York 12054
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Phone (518) 474-7055
Fax (518) 478-1014
EMail:
LE102
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Health Care Standards and Surveillance
New York State Department of Health
Hedley Park Place, 433 River Street, Suite 303
Troy, New York 12180
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Phone (518) 402-1045
Fax (518) 402-1042
EMail:
WM002
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New York State Department of Health
Office of Managed Care
Empire State Plaza, Corning Tower Building
Room 2001
Albany, New York 12237
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Phone (518) 474-5737
EMail:
EJA
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North Carolina
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Certification Section, Division of Facility Services
North Carolina Department of Human Resources
PO Box 29530
Raleigh, North Carolina 27626-0530
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Phone (919) 733-7461
Fax (919) 733-8274
EMail:
Stephen White
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North Dakota
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Health Resources Section, Div of Health Facilities
North Dakota Dept of Health & Consolidated Labs
600 East Boulevard Avenue
Bismarck, North Dakota 58505-2352
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Phone (701) 328-2352
Fax (701) 328-1890
EMail:
Darleen Bartz
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Ohio
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Division of Quality Assurance
Ohio Department of Health
246 N. High Street
Columbus, Ohio 43266-0118
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Phone (614) 466-7857
Fax (614) 644-0208
EMail:
Rebecca Maust
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Oklahoma
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Special Health Services - 0237
Oklahoma State Department of Health
1000 N.E. Tenth Street
Oklahoma City, Oklahoma 73117-1299
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Phone (405) 271-4200
Fax (405) 271-3442
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Oregon
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Health Care Licensure and Certification Section
Oregon Health Department
PO Box 14450
Portland, Oregon 97214-0450
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Phone (503) 731-4013
Fax (503) 731-4080
EMail:
Kathleen Smail
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Client Care Monitoring Unit
Senior and Disabled Services
Oregon Department of Human Resources
500 Summer Street, 2nd Floor
Salem, Oregon 97310-1015
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Phone (503) 945-6456
Fax (503) 373-7902
EMail:
Dan Barker
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Pennsylvania
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Bureau of Quality Assurance
Pennsylvania Department of Health
P.O. Box 90
Harrisburg, Pennsylvania 17108
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Phone (717) 787-8015
Fax (717) 787-1491
Dean F. Glick
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Puerto Rico
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Regulation and Accreditation of Health Facilities
Puerto Rico Department of Health
Ruiz Soler Former Hospital
Bayamon, Puerto Rico 00959
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Phone (809) 781-1066
Fax (809) 782-6540
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Rhode Island
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Division of Facilities Regulation
Rhode Island Department of Health
3 Capitol Hill
Providence, Rhode Island 02908-5097
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Phone (401) 222-2566
Fax (401) 222-3999
EMail:
Facility Regulations
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South Carolina
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Bureau of Certification
SC Department of Health & Environmental Control
2600 Bull Street
Columbia, South Carolina 29201-1708
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Phone (803) 737-7205
Fax (803) 737-7292
EMail:
Karen Price
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South Dakota
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Office of Health Care Facilities
Licensure and Certification
Health Systems Development and Regulation
South Dakota Department of Health
615 East 4th Street
Pierre, South Dakota 57501-5070
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Phone (605) 773-3356
Fax (605) 773-6667
EMail:
Joan Bachman
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Tennessee
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Division of Health Care Facilities
Tennessee Department of Health
Cordell Hull Building, 1st Floor
426 5th Avenue North
Nashville, Tennessee 37247-0508
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Phone (615) 741-7221
Fax (615) 741-7051
EMail:
Katy Gammon
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Texas
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Health Facility Compliance Division
Texas Department of Health
1100 West 49th Street
Austin, Texas 78756
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Phone (512) 834-6752
Fax (512) 834-6653
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Long Term Care - Regulatory
Texas Department of Human Services
701 West 51st Street, P.O. Box 149030
Austin, Texas 78751
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Phone (512) 834-6696
Fax (512) 834-6756
EMail:
Jim Lehrman
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Utah
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Medicare/Medicaid Prgm Cert/Resident Assessment
Division of Health Systems Improvement
PO Box 16990
Salt Lake City, Utah 84114-2905
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Phone (801) 538-6559
Fax (801) 538-6163
EMail:
Allan Elkins
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Vermont
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Division of Licensing and Protection
Vermont Department of Aging and Disabilities
103 South Main Street
Waterbury, Vermont 05671-2306
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Phone (802) 241-2345
Fax (802) 241-2358
EMail:
Laine Lucenti
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Virginia
|
The Center for Quality Health Care Services
and Consumer Protection
Virginia Department of Health
3600 West Broad Street, Suite 216
Richmond, Virginia 23230
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Phone (804) 367-2102
Fax (804) 367-2149
EMail:
Nancy Hofheimer
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Washington
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Facilities and Services Licensing
PO Box 47852
Olympia, Washington 98504-7852
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Phone (360) 705-6652
Fax (360) 705-6654
EMail:
Gary Bennett
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Residential Care Services
Washington Department of Social & Health Services
PO Box 45600
Olympia, Washington 98504-5600
|
Phone (360) 493-2560
Fax (360) 438-7903
EMail:
Patricia Lashway
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West Virginia
|
Office of Health Facility Licensure and Certification
West Virginia Dept of Health and Human Resources
1900 Kanawha Boulevard East, Building 3, Suite 550
Charleston, West Virginia 25304
|
Phone (304) 558-0050
Fax (304) 558-2515
EMail:
John Wilkinson
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Wisconsin
|
Bureau of Quality Assurance
Wisconsin Dept of Health and Family Services
PO Box 2969
Madison, Wisconsin 53701-2969
|
Phone (608) 267-7185
Fax (608) 267-0352
EMail:
Susan Schroeder
Support Contact
Phone (608) 266-8847
EMail:
Denise LeCaptain
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Wyoming
|
Health Facilities Program
Wyoming Department of Health
First Bank Building, 8th Floor
Cheyenne, Wyoming 82002-0480
|
Phone (307) 777-7121
Fax (307) 777-5970
EMail:
Jane Taylor
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