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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:15002111/24/2015FORM
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This visit was for a routine inspection by a regulatory agency.
The business owner or designated representative is required to file this visit report.
The visit report can be filled out online through the regulatory agency's portal or submitted in person at their office.
The purpose of this visit was to ensure compliance with regulations and standards set by the regulatory agency.
The visit report must include details of any findings during the inspection, actions taken to address any deficiencies, and future compliance plans.
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