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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:15575602/25/2015FORM
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The complaint in00163850 pertains to alleged misconduct or grievances regarding a specific issue as defined by relevant regulations.
Individuals or entities who are directly affected by the issue outlined in complaint in00163850 are required to file.
To fill out the complaint in00163850, obtain the official form, provide accurate personal and incident details, and submit it to the appropriate authority.
The purpose of complaint in00163850 is to formally address and seek resolution for the grievances or issues identified.
The complaint must report details including personal information, a description of the issue, evidence supporting the claim, and any attempts made to resolve the issue.
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