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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:15537906/15/2016FORM

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What is this visit was for?

This visit is for conducting a routine inspection.

Who is required to file this visit was for?

The responsible department manager is required to file this visit.

How to fill out this visit was for?

The visit report should be completed online through the designated platform.

What is the purpose of this visit was for?

The purpose of this visit is to ensure compliance with regulations and guidelines.

What information must be reported on this visit was for?

The report must include details of the inspection findings, any non-compliance issues, and corrective actions taken.

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