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PRINTED: 04/12/2021 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X3) DATE SURVEY COMPLETE DRC
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The Indiana State Department of Health
Healthcare facilities and providers in Indiana
By submitting the required information online or through paper forms
To monitor and regulate healthcare practices in Indiana
Patient data, treatment outcomes, and facility performance metrics
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