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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:15533205/26/2015FORM
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Complaint in00169596 is a formal statement raising a concern or grievance about a specific issue.
The person or entity directly affected by the issue described in complaint in00169596 is required to file the complaint.
To fill out complaint in00169596, the individual must provide detailed information about the issue, including dates, parties involved, and any supporting documentation.
The purpose of complaint in00169596 is to formally document and address a specific concern or grievance.
Information such as the nature of the issue, parties involved, dates, and any supporting evidence must be reported on complaint in00169596.
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