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Office of Health Care Assurance State Licensing SectionSTATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION Facilities Name: Moonlight VistaCHAPTER 100.1Address: 981282 Ho×half Place, Pearl City, Hawaii
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Moonlight Vista is the name of the facility.
Any individual or organization responsible for the facility is required to file.
The form can be filled out online or submitted in person at the designated office.
The purpose is to ensure compliance with regulations and to keep records up to date.
Information such as the facility's name, address, type of business, and contact information must be reported.
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