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PRINTED: 04/24/2019 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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The survey date 041619 refers to the date of a specific survey conducted on April 16, 2019.
The entities or individuals specified by the survey requirements set by the conducting organization are required to file survey date 041619.
To fill out survey date 041619, you must follow the instructions provided by the conducting organization, complete all required fields accurately, and submit the survey by the deadline.
The purpose of survey date 041619 is to gather specific information or data relevant to the survey topic or objective for analysis or decision-making purposes.
The information required to be reported on survey date 041619 may include demographic data, financial information, opinions, or any other data relevant to the survey's objectives.
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