DEPARTMENT OF HEALTH AND HUMAN SERVICES AGREEMENT FOR SPECIAL SERVICES – AMENDMENTAgreement for Special Services • June 9th, 2017
Contract Type FiledJune 9th, 2017BY AGREEMENT of both parties this day of , 20__, the Agreement for Special Services between the State of Maine, Department of Health and Human Services, hereinafter called “Department”, and , hereinafter called “Provider”, is hereby amended is hereby amended to reflect the fact that Original Provider Name has been purchased by New Provider Name, hereinafter called “Provider”, located at . Provider hereby accepts responsibility for delivery of the services described in the original Agreement, under the same terms and conditions outlined therein.