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PRINTED: 06/23/2021 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:RICHMOND HILL REST HOME # 2

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Division of health service is a report that details the activities and expenditures of a health service organization.

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Health service organizations are required to file division of health service.

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