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PRINTED: 03/1512006 FORM APPROVED OMS NO 09380391DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION IDENTIFICATION NUMBER:095021

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How to fill out dohdcgovsitesdefaultprinted 031512006 department of

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Access the website doh.dc.gov/sites/default/files/dc/sites/doh/page_content/attachments/Form-DOH-5121-ENG-Public-Health-Clinic-Registration-Application-082619.pdf

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