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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: 155793
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What is this visit was for?
This visit is for conducting a routine inspection.
Who is required to file this visit was for?
The government agency responsible for monitoring compliance.
How to fill out this visit was for?
The visit can be filled out online or in person with relevant information.
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 such as date, time, location, and findings must be reported.
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