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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:15G39911/30/2012FORM

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To fill out the survey dates for October 30, follow these steps:

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Start by accessing the survey form online or on the designated platform.

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Read and understand the instructions or prompts provided in the survey.

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