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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:15513109/26/2014FORM

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The complaint in00155605 is a formal document or statement that outlines an issue or grievance regarding a specific situation.

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The individual or entity directly affected by the issue outlined in the complaint is required to file the complaint in00155605.

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To fill out the complaint in00155605, the individual must provide a detailed description of the issue, any supporting documents or evidence, and contact information for follow-up.

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The complaint in00155605 must include details about the issue, supporting evidence, contact information, and any other relevant information to help investigate the issue.

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