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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES OMB NO. 09380391(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTION09/01/2011FORM APPROVEDIDENTIFICATION

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Anyone who is required to provide a survey date using the 009967 format needs this survey date. The specific individuals or organizations requiring this format may vary depending on the context or purpose of the survey.

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What is 009967 survey date?

009967 survey date is a specific date set for filing a survey report.

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Individuals or entities who are instructed to file the survey report.

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The survey report can be filled out online or submitted via mail as per the instructions provided.

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The information required for reporting on 009967 survey date may include demographic data, financial information, or other specified details.

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