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PRINTED: 12/28/2015 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 facilities345235 1119 is a form used to report certain information about healthcare facilities.
Healthcare facilities are required to file infoncdhhsgov dhsr facilities345235 1119.
Infoncdhhsgov dhsr facilities345235 1119 can be filled out online or by mail following the instructions provided.
The purpose of infoncdhhsgov dhsr facilities345235 1119 is to gather data on healthcare facilities for regulatory purposes.
Infoncdhhsgov dhsr facilities345235 1119 requires information such as facility details, services offered, and compliance with regulations.
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