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COVID-19 Stimulus Survey
COVID-19 Stimulus Survey Instructions
Please complete the following for each Facility/Provider/Location that you manage. If you manage more than five Facilities/Providers/Locations, please email the information for your additional locations to brandon@iowahealthcare.org.
First Facility/Provider/Location
Facility Type
SNF
AL
ICF/ID
Provider Name
Federal ID Number
Second Facility/Provider/Location
Facility Type
SNF
AL
ICF/ID
Provider Name
Federal ID Number
Third Facility/Provider/Location
Facility Type
SNF
AL
ICF/ID
Provider Name
Federal ID Number
Fourth Facility/Provider/Location
Facility Type
SNF
AL
ICF/ID
Provider Name
Federal ID Number
Fifth Facility/Provider/Location
Facility Type
SNF
AL
ICF/ID
Provider Name
Federal ID Number
