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PRINTED: 05/24/2013 FORM APPROVED DEPARTMENT 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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How to fill out printed 05242013 - in:

1. Start by locating the date on the form, which is printed as 05242013. Ensure that the date you are filling out matches the current date. If not, update it accordingly.
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1. Individuals who are required to fill out a form related to a specific event or occasion that occurred on May 24, 2013, such as a legal document, a report, or an application.
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Entities or individuals who meet the criteria set by the authorities are required to file printed 05242013 - in.

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