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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15525401/03/2022FORM
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Start by stating your personal details such as your name, address, and contact information.
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Complaint in00368382 - substantiated refers to a formal allegation or accusation made against an individual or organization that has been confirmed to be true.
The person or entity that has evidence or information regarding the wrongdoing being reported in complaint in00368382 - substantiated is required to file the complaint.
To fill out complaint in00368382 - substantiated, one must provide detailed information about the incident, any supporting evidence, and contact information for further communication.
The purpose of complaint in00368382 - substantiated is to address and rectify the wrongdoing or misconduct that has been confirmed to have occurred.
The information to be reported on complaint in00368382 - substantiated includes details of the incident, evidence supporting the accusation, and any relevant dates or individuals involved.
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