DHB-2039 PHP Notification of Nursing Facility Level of Care
| Form Number | DHB-2039 |
| Medicaid Form Number | DHB-2039 |
| Agency/Division | Health Benefits/NC Medicaid (DHB) |
| Form Effective Date | 2022-12-07T09:55:00-05:00 |
| Form File | PHP NF Level of Care Notification 11.22.pdf |