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12/30/2019PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Survey date 112619 refers to the date November 26, 2019.
All individuals or entities who were assigned or involved in the survey on November 26, 2019 are required to file survey date 112619.
You can fill out survey date 112619 by providing accurate information about the survey conducted on November 26, 2019.
The purpose of survey date 112619 is to gather data and information from the survey conducted on November 26, 2019 for analysis and reporting.
The information that must be reported on survey date 112619 includes survey methodology, results, findings, and any relevant recommendations.
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