Get the free 06/24/2022 form approved - IN.gov
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PRINTED: 06/24/2022 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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What is 0624 form approved?
The 0624 form approved is a form used to report certain financial information to the appropriate government agency.
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Individuals or organizations that meet specific criteria set forth by the government agency are required to file the 0624 form approved.
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