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PRINTED: 04/24/2015 FORM APPROVED Division of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION

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What is nc dhsr acls statement?

The nc dhsr acls statement is a form required to be filed by certain healthcare facilities in North Carolina.

Who is required to file nc dhsr acls statement?

Healthcare facilities in North Carolina are required to file the nc dhsr acls statement.

How to fill out nc dhsr acls statement?

The nc dhsr acls statement can be filled out online or submitted via mail with the required information and signatures.

What is the purpose of nc dhsr acls statement?

The purpose of nc dhsr acls statement is to ensure healthcare facilities are in compliance with regulations and guidelines.

What information must be reported on nc dhsr acls statement?

The nc dhsr acls statement typically requires information such as facility details, patient care statistics, and compliance measures.

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