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PRINTED: 04/18/2022 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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Complaint in00377023 - substantiated refers to a verified claim that has been confirmed based on evidence and investigation.
Any individual or entity that has been directly affected by the issue related to complaint in00377023 is required to file the complaint.
To fill out the complaint in00377023 - substantiated, you need to provide detailed information regarding the incident, including dates, locations, and involved parties, as well as any supporting evidence.
The purpose of complaint in00377023 - substantiated is to formally address and resolve grievances by ensuring that substantiated claims lead to appropriate actions.
The information that must be reported includes the complainant's details, specifics of the alleged issue, relevant timelines, and any evidence supporting the claim.
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