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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:15575612/01/2015FORM

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What is survey date 111215?

The survey date 111215 refers to the specific date, November 12, 2015, when the survey was conducted.

Who is required to file survey date 111215?

All individuals or entities who were part of the survey conducted on November 12, 2015, are required to file the survey.

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The survey date 111215 can be filled out by providing accurate information and data related to the specific date of November 12, 2015.

What is the purpose of survey date 111215?

The purpose of the survey date 111215 is to gather information and data for analysis and decision-making based on the specific date of November 12, 2015.

What information must be reported on survey date 111215?

For survey date 111215, information such as demographics, preferences, and behaviors on November 12, 2015, must be reported.

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