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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:15519707/25/2013FORM

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To fill out a complaint in00130313, follow these steps:

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Start by gathering all the necessary information related to the complaint. This may include details of the incident, any supporting evidence, names of individuals involved, etc.

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Clearly state the nature of the complaint and provide a concise but detailed description of the issue.

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Include any relevant dates, times, and locations associated with the incident.

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If applicable, mention any previous attempts made to resolve the issue and the outcomes of those attempts.

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Provide your contact information, including your name, address, phone number, and email address. This will help the concerned authorities reach out to you for any additional information or updates.

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Please ensure that you double-check all the information provided before submitting the complaint to avoid any delays or misunderstandings in the resolution process.

Who needs complaint in00130313?

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Anyone who has experienced or witnessed the incident described in complaint in00130313 can file a complaint. This may include individuals directly affected by the issue, witnesses, or concerned citizens who want to report a violation or inappropriate behavior. Filing a complaint helps initiate an investigation or resolution process to address the issue and ensure accountability.

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