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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:15522602/17/2017FORM
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The survey dates 122116 amp refers to the specific dates that surveys were conducted on December 21, 2016.
All individuals or entities who conducted surveys on December 21, 2016 are required to file the survey dates 122116 amp.
To fill out the survey dates 122116 amp, you must provide the necessary information regarding the surveys conducted on December 21, 2016.
The purpose of survey dates 122116 amp is to document and report the results of surveys conducted on December 21, 2016.
The survey dates 122116 amp must include details of the surveys conducted on December 21, 2016 such as the methodology used, sample size, results, etc.
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