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Vision Care Pg Service Category Definition Part A 1 Ryan White Part A 20122013 Standards of Care 5 Ryan White Part A 20122013 Outcome Measures 8 2012 Midyear Outcomes Report 10 Vision Care Chart Review RWGA, December 2012 13 FY 2014 Houston
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Printed: 06/15/2012 form approved indiana state department of health statement of deficiencies and plan of correction (x1) provider/supplier/clia identification number: (x2) multiple construction a. building b. wing 001135 name of provider or...

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WING 001135 NAME OF PROVIDER OR SUPPLIER KINGSTON RESIDENCE OF FORT WAYNE (X4) ID PREFIX TAG (X3) DATE SURVEY COMPLETED 06/14/2012 STREET ADDRESS, CITY, STATE, ZIP CODE 7515 WINCHESTER RD FORT WAYNE, IN 46819 SUMMARY STATEMENT OF - in