Get the free This visit was for the Investigation of Complaint IN00207154 ... - IN.gov
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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:15520709/29/2016FORM
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What is this visit was for?
This visit was for a routine inspection.
Who is required to file this visit was for?
The business owner is required to file this visit.
How to fill out this visit was for?
The visit report must be filled out with details of the inspection findings.
What is the purpose of this visit was for?
The purpose of this visit was to ensure compliance with regulations.
What information must be reported on this visit was for?
The report must include the date of visit, inspector's name, findings, and any actions taken.
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