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PRINTED: 08/18/2016 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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What is building 02 - bldg?

Building 02 - bldg is a commercial property located on Main Street.

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The owner or manager of building 02 - bldg is required to file.

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The purpose of building 02 - bldg is to assess the property for tax purposes.

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The information required includes property size, building amenities, and current occupancy status.

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