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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:15503902/18/2014FORM

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Open the survey form provided.

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Anyone who is involved in or affected by an event or activity occurring on January 23 may need to fill out the survey dates for that day. This could include participants, organizers, coordinators, or stakeholders of the event or activity.

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Survey dates January 23 refers to the specific date set for conducting surveys or collecting data on January 23rd.

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