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PRINTED: 12/19/2019
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 0514 form approved?
0514 form approved is a document used for reporting certain financial information to the appropriate governing body.
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Entities or individuals meeting specific criteria outlined by the governing body are required to file the 0514 form approved.
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