Common Contracts
3 similar Accreditation Agreement contracts
Accreditation AgreementAccreditation Agreement • July 28th, 2020 • Maryland
Facility’s Name (“Facility”): Zest Northwest Address: 511 Spicy Enchilda Terrace, Vancouver, BC, 88941 Canadia Legal Structure: Other (specify below) check check Owner’s Name: (In the event accreditation is granted, the entity that owns and operates the Facility) aaa Owner’s Main Business Address: bbb Owner’s Representative Name & Title: (Should be the person for day-to-day contact and does not need to be the signee of the Agreement.) ccc, ddd Private (non-governmental) Facility? Yes No Governmental Facility? Yes No Federal Tax ID: 22-2201231
Accreditation AgreementAccreditation Agreement • November 19th, 2019 • Maryland
Facility’s Name (“Facility”): ABC Facility Address: 123 Main Street, Ellicott City, MD 21043 Legal Structure: Corporation Owner’s Name: (In the event accreditation is granted, the entity that owns and operates the Facility) John Doe Owner’s Main Business Address: 123 Main Street, Ellicott City, MD 21043 Owner’s Representative Name & Title: (Should be the person for day-to-day contact and does not need to be the signee of the Agreement.) Jane Doe, Medical Director Private (non-governmental) Facility? Yes No Governmental Facility? Yes No Federal Tax ID: 123456789
Accreditation AgreementAccreditation Agreement • November 19th, 2019 • Maryland
Facility’s Name (“Facility”): ABC Facility Address: 123 Main Street, Ellicott City, MD 21043 Legal Structure: Corporation Owner’s Name: (In the event accreditation is granted, the entity that owns and operates the Facility) John Doe Owner’s Main Business Address: 123 Main Street, Ellicott City, MD 21043 Owner’s Representative Name & Title: (Should be the person for day-to-day contact and does not need to be the signee of the Agreement.) Jane Doe, Medical Director Private (non-governmental) Facility? Yes No Governmental Facility? Yes No Federal Tax ID: 123456789
