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PRINTED: 11/19/2010 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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How to Fill Out Centralia Manor - IDPH:
01
Begin by obtaining the Centralia Manor - IDPH form from the Illinois Department of Public Health (IDPH) website or the Centralia Manor facility.
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Individuals who are planning to receive medical care or reside at Centralia Manor, a medical facility regulated by the Illinois Department of Public Health (IDPH).
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The Centralia Manor staff and IDPH require this form to ensure proper care, treatment, and regulatory compliance for the residents or patients at Centralia Manor.
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What is centralia manor - idph?
Centralia Manor is a form required to be filed with the Illinois Department of Public Health (IDPH) for certain healthcare facilities.
Who is required to file centralia manor - idph?
Healthcare facilities in Illinois that fall under the categories specified by IDPH are required to file Centralia Manor.
How to fill out centralia manor - idph?
Centralia Manor form can be filled out electronically or manually by providing all required information about the healthcare facility.
What is the purpose of centralia manor - idph?
The purpose of Centralia Manor form is to gather necessary information about healthcare facilities in Illinois for regulatory and oversight purposes by IDPH.
What information must be reported on centralia manor - idph?
Centralia Manor form requires information such as facility details, services offered, staffing details, patient demographics, etc.
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