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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:15575306/28/2013FORM
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Anyone who has a valid complaint related to the incident or issue mentioned in complaint in00129562 needs to fill it out. This includes individuals directly affected by the incident, witnesses, or relevant parties involved. It is important to ensure that the complaint is filed by the person who has firsthand knowledge or is directly affected by the subject of the complaint. Others who may need the complaint include authorized representatives or legal entities acting on behalf of the affected party.
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