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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:15511503/01/2016FORM

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What is survey date 012616?

The survey date 012616 refers to the date January 26, 2016.

Who is required to file survey date 012616?

Any individuals or entities who were involved in the survey on January 26, 2016 are required to file the survey date 012616.

How to fill out survey date 012616?

The survey date 012616 can be filled out by providing accurate information about the activities or data collected on January 26, 2016.

What is the purpose of survey date 012616?

The purpose of survey date 012616 is to gather specific information or data related to the events that took place on January 26, 2016.

What information must be reported on survey date 012616?

The information that must be reported on survey date 012616 includes details about the activities, events or data collected on January 26, 2016.

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