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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:15542308/28/2015FORM
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Survey date 081115 refers to the specific date in which a survey is conducted to gather relevant information.
All individuals or entities mandated by the governing body to participate in the survey are required to file survey date 081115.
To fill out survey date 081115, individuals or entities must follow the guidelines provided by the governing body and accurately provide the requested information.
The purpose of survey date 081115 is to collect data and information for analysis and decision-making purposes.
On survey date 081115, individuals or entities must report specific data as outlined in the survey guidelines.
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