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PRINTED: 07/03/2014 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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Fayette County Hospital Long is a form that must be completed by certain individuals or entities in Fayette County.
Individuals or entities in Fayette County who meet certain criteria are required to file the Fayette County Hospital Long form.
The Fayette County Hospital Long form can be filled out online or by mailing a paper form to the designated address.
The purpose of the Fayette County Hospital Long form is to collect specific information about healthcare facilities in Fayette County for regulatory purposes.
The Fayette County Hospital Long form typically requires information such as the facility's name, address, services offered, and number of patients served.
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