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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:15545510/03/2017FORM

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Survey date 091317 is the specific date assigned for filling out a survey.

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The information required to be reported on survey date 091317 is specified in the survey form or instructions.

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