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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15G19309/16/2014FORM
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This visit was for a compliance check by the local authorities.
The business owner or manager is required to file this visit.
The visit can be filled out online through the official portal of the local authorities.
The purpose of this visit is to ensure that the business is operating in compliance with local regulations.
The business address, operating hours, number of employees, and type of products/services offered must be reported.
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