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PRINTED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE MEDICAID SERVICES STATEMENT OF DEFICIENCIES X1 PROVIDER/SUPPLIER/CLIA AND PLAN OF CORRECTION IDENTIFICATION NUMBER 155135 05/13/2016 FORM APPROVED OMB NO. 70 a Life Safety from Fire and the 2000 edition of the National Fire Protection Association NFPA 101 Life Safety Code LSC Chapter 19 Existing Health Care Occupancies and 410 IAC 16. 0938-0391 X2 MULTIPLE CONSTRUCTION A. BUILDING X3 DATE SURVEY COMPLETED 04/27/2016 B. WING...
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