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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CIA AND PLAN OF CORRECTION IDENTIFICATION NUMBER: 155156
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Substantiated no deficienci refers to a document stating that no deficiencies have been found.
Individuals or entities subject to an audit or inspection may be required to file substantiated no deficienci.
To fill out substantiated no deficienci, provide a statement confirming that no deficiencies were identified during the audit or inspection.
The purpose of substantiated no deficienci is to affirm that no deficiencies have been found in the audit or inspection.
The information reported on substantiated no deficienci should include details of the audit or inspection, as well as a statement confirming no deficiencies were identified.
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