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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:15513708/09/2017FORM
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Complaint in00233521 and in00233595 are formal expressions of dissatisfaction or grievance filed by individuals or entities regarding a specific issue or situation.
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The complainant must provide their personal information, details of the complaint, supporting evidence, and any other relevant information in the designated complaint form.
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The purpose of complaint in00233521 and in00233595 is to formally address and resolve issues or grievances through a structured process.
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The complaint must include details of the issue, dates, witnesses (if applicable), supporting documents, and any other relevant information.
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