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Adult Care Home Hearing Request Form NC Medicaid 9053 Revised …

Adult-Care-Home-Hearing-Request-Form-NC-Medicaid-9053-Revised--2019.pdf

PDF • 60.56 KB - August 07, 2019

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NC Medicaid, Division of Health Benefits
2501 Mail Service Center
Raleigh, NC 27699-2501

NC Medicaid Contact Center
Phone: 888-245-0179
Monday-Friday 8 a.m. to 5 p.m.
Closed on State holidays.
 
Visit RelayNC for information about TTY services.
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