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PRINTED: 04/25/2012FORM APPROVEDHealth Regulation & Licensing Admin STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CUA IDENTIFICATION NUMBER:a WINGHFD120017C04/04/2012NAME
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Form approved health regulation is a document that outlines the regulations and guidelines that govern health practices.
Healthcare providers and facilities are required to file form approved health regulation.
Form approved health regulation can be filled out by following the instructions provided on the document.
The purpose of form approved health regulation is to ensure compliance with health regulations and guidelines.
Information such as the name of the healthcare provider or facility, contact information, types of services offered, and compliance with regulations must be reported on form approved health regulation.
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