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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:15548206/20/2017FORM

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Open the survey form on your web browser.

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Enter your personal information such as name, email, and any other required details.

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Select or input January 25 as the date.

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Survey dates January 25 refer to the specific date on which certain surveys or data collection activities are conducted or reported.

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The purpose is to gather specific information for analysis, compliance, or research that occurs on or before January 25.

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