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PRINTED: 04/29/2020 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.

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Waterbrooke of Elizabeth City is a residential community located in Elizabeth City, North Carolina.

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The purpose of Waterbrooke of Elizabeth City is to collect information about the residents and properties within the community.

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Information such as property ownership, residency status, and contact details must be reported on Waterbrooke of Elizabeth City.

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