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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:15555608/05/2013FORM
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This visit is for a routine inspection of the premises.
The business owner or manager is required to file this visit.
The visit can be filled out electronically on the designated online platform.
The purpose of this visit is to ensure compliance with regulations and safety standards.
The information that must be reported includes details of any findings, recommendations, and corrective actions taken.
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