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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:15520502/15/2016FORM
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01
Start by accessing the survey form online.
02
Look for the field that requires you to enter the date.
03
Click on the date field to open the calendar menu.
04
Scroll through the calendar menu to find January.
05
Once you locate January, click on the 4th day.
06
The date 'January 4' should now be filled out in the form.

Who needs survey dates january 4?

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Anyone who is required to complete the survey on January 4 needs to fill out the survey dates as January 4.
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The survey dates for January 4 refer to the specific dates on which a survey must be conducted or completed.
Any individual or organization mandated by law or regulations to conduct surveys on January 4 must file the results.
To fill out the survey on January 4, individuals can use the provided forms and follow the instructions outlined in the survey guidelines.
The purpose of conducting surveys on January 4 is to gather data, information, or feedback for analysis, research, or decision-making purposes.
The information required to be reported on survey dates on January 4 may vary depending on the specific survey, but typically involves demographics, opinions, or responses to survey questions.
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