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PRINTED: 02/10/2020 FORM APPROVED MA DPH/Division of Health Care Facility Licensure STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION
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Go to the Massachusetts Department of Public Health website
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The Ma DPH Division of Health is a division within the Massachusetts Department of Public Health that oversees public health initiatives and regulations.
Healthcare facilities, providers, and organizations are required to file with the Ma DPH Division of Health.
Ma DPH Division of Health forms can usually be filled out online through the department's website or submitted through mail.
The purpose of the Ma DPH Division of Health is to ensure public health and safety by collecting and monitoring health-related data.
Information such as patient demographics, diagnoses, treatments, and outcomes may need to be reported on Ma DPH Division of Health forms.
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