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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:15550802/06/2015FORM
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To fill out the survey for dates January 5, follow these steps: 1. Go to the survey website or open the survey application. 2. Look for the section related to date selection. 3. Choose January 5 as the preferred date. 4. Click on the submit button to complete the survey.

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Anyone who is required or interested in providing feedback or information related to events, activities, or schedules that occurred on January 5 can fill out the survey for dates January 5.
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Survey dates January 5 refers to the specific dates on which surveys are conducted or reported on January 5.
The individuals or organizations mandated to file survey dates January 5 are those specified by the governing body overseeing the surveys.
To fill out survey dates January 5, one must follow the instructions provided by the survey administrator and accurately report the requested information for that date.
The purpose of survey dates January 5 is to collect specific data or information on that particular day for analytical or reporting purposes.
The information required to be reported on survey dates January 5 will depend on the type of survey being conducted, but it typically includes relevant data or answers to specific questions related to that date.
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