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PRINTED: 02/18/2022 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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In00364081 is a reference number for a specific document or issue, whereas complaint in00371372 is a reference number for a filed complaint or grievance.
The individuals or entities involved in the specific document or complaint are usually required to file in00364081 and complaint in00371372.
The forms for in00364081 and complaint in00371372 must be filled out completely and accurately, following any instructions provided.
The purpose of in00364081 is to identify and track a specific document or issue, while the purpose of complaint in00371372 is to address and resolve grievances or disputes.
The information required to be reported on in00364081 and complaint in00371372 may vary, but typically includes relevant details about the document or complaint.
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