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PRINTED: 12/12/2023 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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The 1227 form, officially known as 'OMB Approved Form 1227', is a tax form used for reporting certain financial information to the IRS.
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