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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: 15G403
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What is this visit was for?
This visit was for a compliance inspection.
Who is required to file this visit was for?
The company's designated compliance officer is required to file this visit.
How to fill out this visit was for?
The compliance officer must complete the required forms and submit all relevant documentation.
What is the purpose of this visit was for?
The purpose of this visit is to ensure that the company is in compliance with all regulations and requirements.
What information must be reported on this visit was for?
All relevant information regarding the company's compliance status must be reported.
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