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PRINTED: 07/18/2019 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:VIOLET HAMEEDNELSON HOME (X4)
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01
Obtain the appropriate forms from the NC DHHS website or request them by mail.
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Fill out the forms completely and accurately, providing all required information.
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Submit the completed forms to the appropriate DHHS office either in person, by mail, or online.
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Make sure to include any necessary supporting documentation with your application.
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Wait for confirmation or follow up from DHHS regarding your application status.

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Individuals and families in North Carolina who are in need of assistance with healthcare, food, child care, and other social services may need to fill out forms with the NC DHHS.
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The North Carolina Department of Health and Human Services (NC DHHS) is a government agency responsible for ensuring the health and well-being of North Carolina residents.
Healthcare providers, social service agencies, and other entities required by law to report certain health and human services data are required to file NC DHHS North Carolina.
NC DHHS North Carolina can be filled out online through the official NC DHHS website or by submitting the required forms via mail or in person.
The purpose of NC DHHS North Carolina is to collect essential data on health and human services to ensure the well-being of North Carolina residents and improve the overall health system.
Entities filing NC DHHS North Carolina must report data related to health outcomes, service utilization, and population demographics as required by state regulations.
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