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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CIA AND PLAN OF CORRECTION IDENTIFICATION NUMBER: 155264
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Facility number 000165 is a unique identification number assigned to a specific facility for tracking and reporting purposes.
The entity or organization that owns or operates the facility is required to file facility number 000165.
You can fill out facility number 000165 by providing all the required information accurately and submitting it to the relevant authorities within the specified deadline.
The purpose of facility number 000165 is to ensure proper tracking, reporting, and monitoring of activities and information related to the specific facility.
Information such as operational details, production data, environmental impact, safety measures, and any other relevant data may need to be reported on facility number 000165.
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