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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:15532904/04/2013FORM
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What is this visit was for?
This visit was for assessing compliance with regulations and standards relevant to the specific context of the visit.
Who is required to file this visit was for?
Individuals or organizations that are subject to the regulatory requirements pertaining to the visit are required to file.
How to fill out this visit was for?
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What is the purpose of this visit was for?
The purpose of this visit is to evaluate compliance, facilitate inspections, or gather necessary information for regulatory purposes.
What information must be reported on this visit was for?
Information such as the date of the visit, the purpose, involved parties, and findings must be reported.
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