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Get the free info.ncdhhs.govdhsrfacilitiesPRINTED: 09/13/2021 DEPARTMENT OF HEALTH AND HUMAN SERV...

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PRINTED: 01/13/2021 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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This department is for reporting information on healthcare facilities.
Healthcare facilities and providers are required to file.
The form can be filled out online or by mail with the required information.
The purpose is to gather data on healthcare facilities for regulatory purposes.
Information such as services provided, number of patients, staff qualifications, etc., must be reported.
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