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PRINTED: 08/06/2021 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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Tiffany's Family Care Home is a residential facility that provides care services to individuals who need assistance with daily activities.
Tiffany's Family Care Home is required to be filed by the owner or operator of the facility.
To fill out Tiffany's Family Care Home, the owner or operator must provide information about the facility, services offered, and any regulations or requirements.
The purpose of Tiffany's Family Care Home is to provide a safe and caring environment for individuals who need assistance with daily activities.
The information that must be reported on Tiffany's Family Care Home includes details about the facility's location, services provided, and any regulations or requirements.
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