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PRINTED: 03/15/2022 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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Complaint in00370436 is a specific type of legal complaint that requires specific information and compliance with regulatory standards. The form associated with it serves as an official document to file the complaint.
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Mandatory information includes the complainant's details, the nature of the complaint, the parties involved, dates of incidents, and any supporting documentation relevant to the complaint.
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