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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15517809/08/2015FORM

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Step 1: Start by opening the survey form.

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Step 2: Enter the date as 081715 in the designated field.

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Who needs survey date 081715?

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What is survey date 081715?

Survey date 081715 refers to a specific survey or reporting period that began on August 17, 2015.

Who is required to file survey date 081715?

Entities or individuals who fall under the jurisdiction or regulations governing the survey for the period starting August 17, 2015, are required to file.

How to fill out survey date 081715?

To fill out survey date 081715, gather the necessary data and follow the prescribed format and guidelines outlined by the authority requiring the survey.

What is the purpose of survey date 081715?

The purpose of survey date 081715 is to collect data or information for analysis, regulatory compliance, or administrative purposes related to that specific time frame.

What information must be reported on survey date 081715?

The information required typically includes demographics, financial data, operational metrics, or other relevant statistics as specified by the governing body.

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