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PRINTED: 05/03/2019 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Tangle Drive Group Home is a residential facility that provides care and support for individuals with disabilities.
The owner or operator of the Tangle Drive Group Home is required to file.
The Tangle Drive Group Home form can be filled out online or through paper submission by providing all required information.
The purpose of Tangle Drive Group Home is to ensure proper care and support for individuals with disabilities in a residential setting.
Information such as facility details, resident demographics, staff qualifications, and care plans must be reported on Tangle Drive Group Home.
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