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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:15553107/28/2016FORM
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Complaint in00204289 refers to a formal grievance or allegation that has been documented and filed concerning a specific issue or incident identified by the unique identifier 00204289.
Typically, individuals or entities directly affected by the issue or incident described in complaint in00204289 are required to file the complaint.
To fill out complaint in00204289, gather all necessary documentation, clearly state the issue, provide your contact information, and submit the form to the appropriate authority as per the guidelines provided.
The purpose of complaint in00204289 is to formally record an issue or violation, seeking resolution or corrective action from the responsible parties.
The complaint in00204289 must report the nature of the complaint, the details of the incident, involved parties, dates, and any evidence supporting the claims.
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