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PRINTED: 09/11/2015 FORM APPROVED Alabama Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: WHITEHALL WEST ASSISTED LIVING
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Printed 0911 form approved is a tax document that needs to be filled out and submitted to the appropriate authorities.
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The purpose of printed 0911 form approved is to report income, deductions, and other relevant financial information to the tax authorities.
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