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PRINTED: 01/26/2022 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:ROCKDALE WILMINGTON (X4) ID
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Printed 0126 department refers to the form used for reporting details related to a specific department within an organization.
The department head or designated representative is required to file the printed 0126 department form.
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The purpose of the printed 0126 department form is to track and monitor the financial activities and performance of a specific department.
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