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PRINTED: 07/02/2020 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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Survey date 062920 refers to a specific date, June 29, 2020, which is often used as a reference point for data collection or reporting in surveys.

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