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PRINTED: 10/14/2011 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Brookdale place at fall is a form or document that needs to be filled out to report certain information related to a specific event or place in the fall season.
Anyone who is responsible for the management or organization of the event or place in the fall season is required to file brookdale place at fall.
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The purpose of brookdale place at fall is to collect relevant information about the event or place in the fall season for documentation and reporting purposes.
The information that must be reported on brookdale place at fall includes details about the event or place, dates, participants, activities, and any other relevant information.
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