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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:15507004/09/2014FORM
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Complaint in00145485 is a formal statement or document filed to address a grievance or issue.
The individual or organization directly affected by the issue or grievance is required to file complaint in00145485.
Complaint in00145485 can be filled out by providing detailed information about the issue or grievance, including dates, names of individuals involved, and any supporting documentation.
The purpose of complaint in00145485 is to bring attention to an issue or grievance and seek a resolution or response.
Complaint in00145485 must include specific details about the issue, any relevant evidence or documentation, and contact information for the individual filing the complaint.
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