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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:15519807/02/2015FORM
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Survey date 061815 refers to the specific date (June 18, 2015) on which a survey or data collection activity was conducted.
Entities or individuals who conducted the survey or data collection on June 18, 2015 are required to file survey date 061815.
To fill out survey date 061815, the entity or individual must report all the relevant data and findings from the survey conducted on June 18, 2015.
The purpose of survey date 061815 is to document and report the information gathered from a specific survey conducted on June 18, 2015.
All the data, findings, and analysis from the survey conducted on June 18, 2015 must be reported on survey date 061815.
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