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12/03/2018PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION
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The complaint in00276971 refers to a formal grievance that has been found to have sufficient evidence to support its claims.
Any individual or entity who has experienced an issue that falls under the jurisdiction of the complaint is required to file.
To fill out the complaint, obtain the official form, complete all required sections, provide detailed information about the incident, and submit it to the appropriate authority.
The purpose of the complaint is to address and resolve grievances while ensuring accountability and adherence to applicable regulations.
The complaint must include the complainant's details, description of the issue, dates of occurrence, and any supporting evidence.
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