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Facilities Management
Report
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Current
Basic Information
B,C & D
Complete
Name of Establishment
Type of Facility
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Public
Private
LCDA/LGA
- Select -
public
private
Facility Type
- Select -
public
private
Start Date
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Date
End Date
- Select -
Date
Facility Class
- Select -
public
private
Status
- Select -
public
private
Keyword
Type of Public Facility
- None -
State Specialist
General Hospital
Comprehensive PHC
Primary Health Care Center
Primary Health Care Clinic
Cottage Hospital
Type of Private Facility - General
- None -
For Profit
Not-For-Profit
Type of care provided by private health facility
- None -
Multi-specialty hospital
Mono specialty hospital (General Practice)
Clinic
Maternity Center
Nursing Home
Diagnostic Center
End Date
Class of facility
- Select -
Primary
Secondary
Tertiary
Full Address
Status of Establishment
- Select -
New
Existing
MOH Reg. Number (if applicable)
Title of Head of clinical (if applicable)
First Name of Head of Clinical (if applicable)
Surname of Head of clinical (if applicable)
Days & hours of operation
Types of building
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Purpose Built
Not Purpose Built
Types of Accommodation
- Select -
Stand-Alone
Shared Accommodation
Does the facility have other branches/ annexes?
- Select -
Yes
No
Specify number of branches
State(s) of other branch(es)
- None -
Abuja
Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nassarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Local Government Area(s) of other branch(es)
Address (es) of other branch(es)
Facilities Management
Report