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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:15G75110/24/2016FORM
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Survey date 081816 refers to the date of the specific survey being conducted on August 18, 2016.
The individuals or organizations specified by the survey are required to file survey date 081816.
Survey date 081816 should be filled out according to the instructions provided by the survey administrator.
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The information required to be reported on survey date 081816 will be outlined in the survey questionnaire or instructions.
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