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PRINTED: 02/03/2021 FORM APPROVED Hawaii Dept. of Health, Office of Health Care Assurance STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X3) DATE
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Individuals seeking admission to the Nuuanu Hale Skilled Nursing Facility in Hawaii state.
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Nuuanu-hale-snf-pdf is a form used for reporting skilled nursing facility services in Hawaii.
Skilled nursing facilities in Hawaii are required to file the nuuanu-hale-snf-pdf form.
The nuuanu-hale-snf-pdf form can be filled out manually or electronically following the instructions provided by the Hawaii state authorities.
The purpose of the nuuanu-hale-snf-pdf form is to report skilled nursing facility services provided in Hawaii for regulatory and compliance purposes.
The nuuanu-hale-snf-pdf form requires detailed information about the skilled nursing facility services provided, including patient demographics, services rendered, and billing information.
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