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PLAN OF CORRECTION (SAMPLE) - KDHE

PLAN OF CORRECTION (SAMPLE) - KDHE

www.kdheks.gov

PLAN OF CORRECTION (SAMPLE) Provider/Supplier Name: Oldtown Community Hospital Survey Date STREET ADDRESS, CITY, ZIP: 321 Main Street, Oldtown 66600 05/21/2009 (X1) PROVIDER/SUPPLIER/CLIA INDENTIFICATION NUMBER 17-1981 (X4) ID PREFIX

  Samples, Plan, Kdhe, Correction, Plan of correction

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