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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:15581511/17/2015FORM
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complaint in00183893 is a formal statement of dissatisfaction or grievance.
The individual or organization who has a grievance or dissatisfaction is required to file complaint in00183893.
To fill out complaint in00183893, one must provide details of the grievance or dissatisfaction, any supporting documentation, and contact information.
The purpose of complaint in00183893 is to address and resolve the issue or grievance to the satisfaction of the complainant.
Information such as details of the grievance, supporting documentation, contact information, and any other relevant details must be reported on complaint in00183893.
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