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Printed: 06/11/2014 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION OMB NO. 09380391(X1) PROVIDER/SUPPLIER/CIA

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Deseret Smith Center 061114 is a form used for reporting financial information.

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Any organization or individual that meets the criteria set by the IRS for filing this form.

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Deseret Smith Center 061114 is used to report financial information for tax purposes.

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Information related to financial transactions, income, expenses, and deductions.

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