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PRINTED: 08/22/2018 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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The 0822 form is used for reporting financial information.
Any individual or business entity that meets the filing requirements set by the governing body.
You can fill out the 0822 form by providing accurate and complete financial information as required.
The purpose of the 0822 form is to provide financial data to the appropriate authorities for regulatory purposes.
The 0822 form requires reporting of income, expenses, assets, and liabilities.
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