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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:06/14/2016FORM
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What is facility number 012288?
Facility number 012288 refers to a specific location or establishment within a system.
Who is required to file facility number 012288?
The entity or individual responsible for the facility number 012288 is required to file.
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Facility number 012288 can be filled out by providing the required information accurately and completely.
What is the purpose of facility number 012288?
The purpose of facility number 012288 is to identify and monitor the specific location or establishment.
What information must be reported on facility number 012288?
Information such as location details, operating activities, and compliance status may need to be reported on facility number 012288.
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