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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15542806/09/2017FORM
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Survey date 051217 refers to the date of a specific survey conducted on May 12, 2017.
Individuals or organizations who were part of the survey conducted on May 12, 2017 are required to file the survey.
To fill out survey date 051217, the individuals or organizations must provide all the necessary information requested in the survey form.
The purpose of survey date 051217 was to gather specific data or information related to a particular subject or topic.
The information required to be reported on survey date 051217 would depend on the specific questions asked in the survey form.
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