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PRINTED: 05/11/2018 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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The May 11 form is a document used to report certain financial information.
Individuals or entities who meet specific criteria set by the governing body.
The May 11 form can be filled out online or manually, following the instructions provided by the governing body.
The purpose of the May 11 form is to ensure compliance with financial reporting requirements.
The May 11 form typically requires information such as income, expenses, assets, and liabilities.
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