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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:15509505/18/2015FORM
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The complaint in00172277 is regarding a specific incident or issue that needs to be addressed.
The individual or organization directly affected by the incident or issue is required to file the complaint in00172277.
The complaint in00172277 can be filled out by providing detailed information about the incident or issue, including dates, names of involved parties, and a description of what transpired.
The purpose of the complaint in00172277 is to formally document the incident or issue and request appropriate action to be taken.
The complaint in00172277 must include relevant details such as date, time, location, names of individuals involved, and a thorough description of the incident or issue.
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