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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:15580105/10/2017FORM
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A complaint in00222474 is a formal statement of grievances or concerns.
The individual or entity directly impacted by the issue described in complaint in00222474 is required to file.
Complaint in00222474 can be filled out by providing detailed information about the issue, any supporting evidence, and contact information.
The purpose of complaint in00222474 is to bring attention to a problem or issue that needs to be addressed by the appropriate authorities.
Information such as the date and time of the incident, names of individuals involved, and a detailed description of what occurred must be reported on complaint in00222474.
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