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PRINTED: 05/25/2021 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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The complaint in00351825 - substantiated refers to a formal accusation or allegation made regarding a specific issue or problem that has been verified or proven to be true.
The person or entity who has knowledge or evidence of the issue or problem is required to file the complaint in00351825 - substantiated.
To fill out the complaint in00351825 - substantiated, the individual must provide detailed information about the issue, including relevant dates, parties involved, supporting evidence, and any other pertinent details.
The purpose of the complaint in00351825 - substantiated is to formally document and address the verified issue or problem in order to bring about resolution or corrective action.
The complaint in00351825 - substantiated must include specific details about the issue, evidence supporting the claim, names of parties involved, dates of occurrences, and any other relevant information.
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