A. Application for license shall be made as required by R. 88-115. Such application shall contain specific and detailed information on the following:
- (1) Name, mailing address, and location of setting or program;
- (2) Name and address of the Qualified Provider;
- (3) Name and address of the owner or Chairman of the Board of Directors;
- (4) Description of Services to be provided; and
- (5) Number and general description of Participants to be served.
HISTORY: Amended by SCSR 48-5 Doc. No. 5182, eff May 24, 2024.