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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15007504/22/2014FORM
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What is facility number 005069?
Facility number 005069 is a unique identification number assigned to a specific facility.
Who is required to file facility number 005069?
The entity or individual responsible for the operation of the facility is required to file facility number 005069.
How to fill out facility number 005069?
Facility number 005069 must be filled out by providing accurate and up-to-date information about the facility.
What is the purpose of facility number 005069?
The purpose of facility number 005069 is to track and monitor the activities of the specific facility.
What information must be reported on facility number 005069?
Information such as facility location, size, operation type, and contact details must be reported on facility number 005069.
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