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PRINTED: 06/24/2024 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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Survey date 062024 refers to the specific date in June 2024 when a survey is conducted or the data is collected for a specific purpose, usually related to research, compliance, or assessment.

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