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PRINTED: 09/07/2022 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:BRENTWOOD AT ELKHART ASSISTED

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The Indiana State Department of Health is responsible for regulating public health in the state of Indiana.

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Certain healthcare facilities and providers in Indiana are required to file reports with the Indiana State Department of Health.

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The information required to be reported on Indiana State Department of Health forms may include demographic data, disease statistics, and healthcare facility information.

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