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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:15539006/12/2013FORM
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Complaint in00128779 is a formal statement alleging misconduct or violation of rules.
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Complaint in00128779 can be filled out by providing detailed information about the alleged misconduct, including evidence and relevant dates.
The purpose of complaint in00128779 is to address and investigate the alleged misconduct or violation of rules.
Information such as details of the misconduct, evidence, dates, and names of individuals involved must be reported on complaint in00128779.
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