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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:15008404/25/2019FORM
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The complaint number in00289341 is a unique identifier assigned to a specific complaint for tracking and reference purposes.
Individuals or organizations who have a grievance or issue that falls under the jurisdiction of the relevant authority are required to file complaint number in00289341.
To fill out complaint number in00289341, individuals should provide their personal details, a description of the complaint, supporting evidence, and any relevant documents as prescribed by the filing authority.
The purpose of complaint number in00289341 is to formally document grievances and initiate an investigation or resolution process by the relevant authority.
The information that must be reported includes the complainant's details, description of the issue, dates and times of incidents, and any evidence supporting the complaint.
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