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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:15569910/23/2017FORM
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Complaint in00241962 refers to a specific formal statement of grievance or allegation related to a legal or administrative matter.
Typically, the individual or entity affected by the issue at hand is required to file complaint in00241962.
To fill out complaint in00241962, the filer must provide personal information, details of the grievance, and any supporting evidence as required by the specific filing guidelines.
The purpose of complaint in00241962 is to formally raise an issue or concern for resolution by the appropriate authorities or bodies.
Information that must be reported includes the nature of the complaint, relevant dates, identities of involved parties, and any supporting documentation.
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