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PRINTED: 11/10/2020 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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North Carolina Department of Health and Human Services (NC DHHS) is a state agency responsible for providing health and human services to the residents of North Carolina.
Certain healthcare providers, facilities, and organizations in North Carolina are required to file NC DHHS reports.
NC DHHS forms can be filled out either electronically or by mail following the instructions provided on the official website of the North Carolina Department of Health and Human Services.
The purpose of NC DHHS North Carolina is to collect data related to health and human services in the state for monitoring, planning, and improving the delivery of services.
The specific information required to be reported on NC DHHS forms may vary depending on the type of report, but typically includes demographic data, service utilization, and financial information.
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