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PRINTED: 06/11/2020 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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Printed 0925 department of refers to a specific form used by departments or agencies to collect information on financial, operational, or regulatory matters relevant to their jurisdiction.
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Entities or individuals who engage in activities regulated by the department are typically required to file printed 0925. This could include businesses, non-profits, or individuals subject to oversight.
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To fill out printed 0925, gather the required information, complete the form with accurate details, and ensure all sections are filled out before submitting it to the appropriate department.
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The information required may include financial data, operational metrics, compliance-related information, and other specifics determined by the department’s needs.
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