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PRINTED: 05/26/2020 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:RAWLING HOUSE HEALTH & LIVING
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To fill out a complaint in00328060, follow these steps: 1. Start by addressing the recipient. Include their name, title, and contact information if necessary.
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A complaint in00328060 is a formal statement expressing discontent or dissatisfaction with a product or service.
The person who experienced the issue or problem is required to file a complaint in00328060.
To fill out a complaint in00328060, one must provide detailed information about the issue, the date and time it occurred, and any relevant documentation.
The purpose of a complaint in00328060 is to address the issue or problem and seek a resolution or compensation.
Information such as the nature of the complaint, date and time of occurrence, parties involved, and any supporting evidence must be reported on complaint in00328060.
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