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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:15569308/10/2017FORM

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What is survey date 062217?

The survey date 062217 refers to the date of the survey that was conducted on June 22, 2017.

Who is required to file survey date 062217?

All entities or individuals that were part of the survey conducted on June 22, 2017 are required to file the survey date 062217.

How to fill out survey date 062217?

The survey date 062217 can be filled out by providing the requested information on the survey form accurately and completely.

What is the purpose of survey date 062217?

The purpose of survey date 062217 is to gather specific information related to the survey conducted on June 22, 2017.

What information must be reported on survey date 062217?

The information that must be reported on survey date 062217 includes details and data relevant to the survey conducted on June 22, 2017.

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