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06/28/2023PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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The complaint in00409923 pertains to a formal grievance filed regarding specific issues outlined in the relevant state statute.
Individuals or entities affected by the grievance or violation are typically required to file the complaint.
Filling out the complaint requires completing the designated form, providing necessary details regarding the incident, and including any supporting documentation.
The purpose of the complaint is to formally notify the authorities of a violation, seek resolution, and potentially initiate an investigation.
The complaint must include the complainant's contact information, a detailed description of the issue, dates of occurrence, and any evidence supporting the claim.
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