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PRINTED: 11/08/2017
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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What is 1011 porters neck road?
1011 porters neck road is a real estate property located at a specific address.
Who is required to file 1011 porters neck road?
The property owner or a designated representative is required to file 1011 porters neck road.
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The purpose of 1011 porters neck road is to report important information about a property for documentation and taxation purposes.
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Information such as property details, ownership details, and value assessments must be reported on 1011 porters neck road.
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