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PRINTED: 09/06/2017 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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836 Hospital Drive is the address of a hospital facility.
The hospital administration or designated personnel are required to file 836 hospital drive.
836 hospital drive can be filled out by providing the required information such as hospital name, address, contact details, and any other specific data requested.
The purpose of 836 hospital drive is to collect and report information about hospital facilities.
Information such as hospital name, address, contact details, services provided, number of staff, and any other relevant details must be reported on 836 hospital drive.
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