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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES MEDICARE/MEDICAID CERTIFICATION AND TRANSMITTAL ID: Z4EN PART I TO BE COMPLETED BY THE STATE SURVEY AGENCY Facility

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What is id z4en?

id z4en is a form used for reporting specific financial information

Who is required to file id z4en?

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What is the purpose of id z4en?

The purpose of id z4en is to report financial information for regulatory or compliance reasons

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Information such as income, expenses, assets, and liabilities may need to be reported on id z4en

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