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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:15C000108701/03/2013FORM

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Anyone who is required to complete the 010817 survey would need to provide the survey date. This could include individuals, organizations, or entities that are obligated to participate in the survey for various purposes, such as research, data collection, compliance, or analysis.

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010817 survey date refers to a specific date assigned for conducting a survey.

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