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PRINTED: 11/04/2020
FORM APPROVEDDEPARTMENT 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 date of survey 10820?
The date of survey 10820 is August 10, 2020.
Who is required to file date of survey 10820?
All individuals and businesses involved in the survey are required to file the date of survey 10820.
How to fill out date of survey 10820?
To fill out date of survey 10820, you need to provide accurate information about the survey date in the designated space.
What is the purpose of date of survey 10820?
The purpose of date of survey 10820 is to track the specific date on which the survey was conducted for reference and analysis purposes.
What information must be reported on date of survey 10820?
The date of survey 10820 must report the exact date when the survey took place, including the day, month, and year.
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