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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:15545801/17/2014FORM
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Facility number 000367 may be required by various entities or individuals such as:
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- Internal company or organizational use to identify a specific facility
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Facility number 000367 is the identification number assigned to a specific facility.
The entity or individual responsible for the operation or management of the facility is required to file facility number 000367.
Facility number 000367 should be filled out by providing all the required information accurately and completely as per the guidelines provided.
The purpose of facility number 000367 is to ensure proper identification and reporting of information related to the specific facility.
Information such as operational details, contact information, regulatory compliance status, and any other relevant details must be reported on facility number 000367.
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