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PRINTED: 04/13/2022 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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It is a standardized form for reporting information related to our Lady of Perpetual Help.
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The purpose is to gather and organize information related to our Lady of Perpetual Help for record-keeping and reference.
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Information such as name, date, details of the event or activity pertaining to our Lady of Perpetual Help.
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