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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: 09/08/2015
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What is this visit was for?
This visit is for conducting a compliance check.
Who is required to file this visit was for?
Employers are required to file this visit.
How to fill out this visit was for?
The visit must be filled out accurately and truthfully.
What is the purpose of this visit was for?
The purpose of this visit is to ensure compliance with regulations.
What information must be reported on this visit was for?
Information regarding the company's operations and compliance status must be reported.
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