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PRINTED: 04/07/2009 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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What is 11 hospital drive?
11 Hospital Drive is the address of a hospital or medical facility.
Who is required to file 11 hospital drive?
Medical personnel or administrators responsible for the hospital are required to file 11 Hospital Drive.
How to fill out 11 hospital drive?
The form for 11 Hospital Drive must be completed with accurate information about the medical facility and submitted to the appropriate authorities.
What is the purpose of 11 hospital drive?
The purpose of 11 Hospital Drive is to provide information about the location and details of a hospital or medical facility.
What information must be reported on 11 hospital drive?
Information such as the name of the hospital, address, contact information, and services provided must be reported on 11 Hospital Drive.
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