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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:15G17505/21/2015FORM
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Complaint in00169773 refers to a formal grievance or issue raised pertaining to a specific case or situation identified by the number 00169773.
Individuals, organizations, or entities that are directly affected by the issue related to complaint in00169773 are generally required to file.
To fill out complaint in00169773, you need to gather relevant information, complete the prescribed form, and submit it according to the specified guidelines.
The purpose of complaint in00169773 is to formally address and seek resolution for an issue or grievance that has been identified.
The complaint must report details such as the nature of the complaint, involved parties, dates of incidents, and any supporting documentation.
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