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PRINTED: 09/24/2018 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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The printed 0924 form is associated with the Department of.
Entities or individuals who are subject to the regulations outlined by the Department are required to file the printed 0924.
To fill out the printed 0924, you should carefully follow the instructions provided with the form, ensuring that all required fields are completed accurately.
The purpose of the printed 0924 is to gather specific information required for compliance with the Department's regulations.
The printed 0924 requires reporting of specific data as outlined by the Department, including but not limited to entities' identification, financial details, and compliance information.
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