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PRINTED: 12/08/2020 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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Infoncdhhsgov dhsr facilitiesprinted 1208 is a form used to report certain information about healthcare facilities.

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Healthcare facilities are required to file infoncdhhsgov dhsr facilitiesprinted 1208.

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The purpose of infoncdhhsgov dhsr facilitiesprinted 1208 is to collect data on healthcare facilities for regulatory purposes.

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Information such as facility name, address, services provided, and compliance with regulations must be reported on infoncdhhsgov dhsr facilitiesprinted 1208.

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