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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15553003/03/2015FORM
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Complaint in00167456 is a formal expression of dissatisfaction or grievance regarding a particular issue or situation.
The individual or entity who has a grievance or complaint related to the issue in00167456 is required to file the complaint.
To fill out complaint in00167456, the individual needs to provide detailed information about the issue, their grievances, and any supporting documents.
The purpose of complaint in00167456 is to bring attention to a specific issue or situation that needs to be addressed and resolved.
The information reported on complaint in00167456 should include details of the issue, the impact it has, any attempts made to resolve it, and any supporting evidence.
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