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PRINTED: 12/04/2017 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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What is an amended statement of?

An amended statement of is a corrected or updated version of a previously filed statement, typically used to fix errors or provide additional information.

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The purpose of an amended statement of is to ensure that accurate and up-to-date information is provided to the relevant authorities or parties, correcting any mistakes or omissions from the original filing.

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The information that must be reported on an amended statement of includes the corrections or updates to the original statement, along with any additional information that was not previously included.

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