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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15512811/09/2017FORM
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The complaint in00240775 is a formal expression of dissatisfaction or grievance.
The person or organization directly affected by the issue is required to file the complaint in00240775.
To fill out the complaint in00240775, one must provide detailed information about the issue, including dates, names, and any supporting documentation.
The purpose of the complaint in00240775 is to address and resolve the issue at hand in a formal manner.
Details such as date of incident, names of parties involved, description of issue, and any additional evidence must be reported on the complaint in00240775.
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