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PRINTED: 03/01/2022 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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Gather all necessary information about the facility you wish to fill out for the NC DHHS.
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Access the NC DHHS website or visit their office in person to obtain the appropriate forms.
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Submit the completed forms to the NC DHHS either online, by mail, or in person, as per their instructions.

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Individuals or organizations who own or operate healthcare facilities in North Carolina and need to be licensed or certified by the Department of Health and Human Services (DHHS).
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NC DHHS facilitiesnc DHHS refers to the facilities regulated by the North Carolina Department of Health and Human Services.
Certain healthcare facilities in North Carolina are required to file nc dhhs facilitiesnc DHHS, as determined by the NC DHHS.
The process to fill out nc dhhs facilitiesnc DHHS forms may vary depending on the specific facility and requirements set forth by the NC DHHS.
The purpose of nc dhhs facilitiesnc DHHS is to ensure compliance with regulations and oversight of healthcare facilities in North Carolina.
The specific information required to be reported on nc dhhs facilitiesnc DHHS forms may include facility details, patient demographics, and operational data.
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