Form cms 671 fillable

DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-12-25 Baltimore, Maryland 21244-1850 Center for Medicaid and State Operations/Survey and Certification Group Ref: S&C-05-08 DATE: TO: FROM: November 12, 2004 State Survey Agency Directors Director Survey and Certification Group Clarification of Survey Agency Responsibilities in Obtaining...
Fill & Sign Online, Print, Email, Fax, or Download
Fill Online
  • Fill Online
  • eSign
  • eFax
  • Email
  • Add Annotation
  • Share
form cms 671 fillable
Rate This Form