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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:15G74407/01/2016FORM

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What is survey date 051116?

Survey date 051116 refers to the specific date (May 11, 2016) for which a survey needs to be completed or filed.

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Entities or individuals who are designated to complete or file the survey for the specified date.

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The information required to be reported on survey date 051116 may include data related to finances, demographics, or other specified categories.

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