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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:15556510/05/2012FORM

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wwwingov isdh reportsprinted 1218 is a report required by the Indiana State Department of Health (ISDH) that needs to be completed by certain entities.

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wwwingov isdh reportsprinted 1218 requires entities to report specific health-related data as outlined by the ISDH.

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