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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:08/16/2016FORM
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What is facility number 010409?
Facility number 010409 is a unique identification number assigned to a specific facility.
Who is required to file facility number 010409?
The entity or individual responsible for the facility is required to file facility number 010409.
How to fill out facility number 010409?
Facility number 010409 can be filled out by providing the required information online or through a paper form.
What is the purpose of facility number 010409?
The purpose of facility number 010409 is to track and monitor the activities and compliance of the specific facility.
What information must be reported on facility number 010409?
Information such as location, size, type of facility, activities conducted, and contact details may need to be reported on facility number 010409.
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