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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:15518110/27/2017FORM
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Survey date 092717 refers to the specific date of September 27, 2017.
All individuals or entities who were asked to participate in the survey on September 27, 2017 are required to file survey date 092717.
To fill out survey date 092717, individuals or entities must follow the instructions provided in the survey questionnaire for that specific date.
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The information that must be reported on survey date 092717 will be outlined in the survey questionnaire for that specific date.
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