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If deficiencies are cited. an approved plan of correction is requisite to continued program participation. Ar ot1. FORM CMS 2S67 02-99 Prnv10. J Vei i lr1s Obsolete Even ID tl20421 Facility ID 13COC01023 If continuation sheet Page 1 of 6 B. 0938-0391 X2 MULTIPLE CONSTRUCllON SWING 08/09/2016 REIT ADDRESS CITY STATE ZIP CODE NAME OF PROVlDER OR SUPPLIER 222 WEST IOWA AVENUE SUITE B HEALING ARTS DAY SURGERY X4 ID PREFIX TAG X3 DATE SURVEY COMPLETED A BUILDING 01 ENTIRE ASC WING NAMPA 10 83686...
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