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Printed: 06/19/2024 Form Approved OMB No. 09380391Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Roosevelt Rehabilitation and Healthcare is a specialized facility that provides rehabilitation services and healthcare support to individuals recovering from injuries, surgeries, or illnesses.
Individuals who are receiving services from Roosevelt Rehabilitation and Healthcare may need to file for documentation related to their care, as well as insurance claims if applicable.
To fill out Roosevelt Rehabilitation and Healthcare forms, gather all necessary personal information, medical history, and service details, and then follow the instructions provided on the forms carefully.
The purpose of Roosevelt Rehabilitation and Healthcare is to facilitate recovery and improve the quality of life for patients through comprehensive rehabilitation services and personalized healthcare.
Information that must be reported includes patient identification, medical history, details of the rehabilitation services provided, and any relevant insurance information.
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