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PRINTED 11/14/2013 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION X1 PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER CROWNPOINTE OF INDIANAPOLIS X4 ID PREFIX TAG A. Survey Date November 12 2013 Facility number 005729 Provider number 005729 AIM number N/A Survey Team Beth Walsh RN-TC Tom Stauss RN Census Bed Type Residential 68 Total 68 Census Payor Type Other 68 Sample 3 Crownpointe of Indianapolis was found to be in compliance with 410 IAC 16....
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Crownpointe of Indianapolis is a form that needs to be filed by certain businesses operating in Indianapolis.
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