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PRINTED: 03/13/2018 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:FRIENDS FELLOWSHIP COMMUNITY (X4)

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What is building 01?

Building 01 refers to the specific building designated with that number in a particular location.

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Building 01 can be filled out by providing relevant information about the building, such as its location, size, purpose, and any other required details.

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The purpose of building 01 is to accurately report information about the specific building to the relevant authorities.

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Information such as building dimensions, zoning classification, occupancy details, and any recent modifications must be reported on building 01.

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