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05/15/2018PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Facility number 000158 is a unique identification number assigned to a specific facility.
The facility owner or operator is required to file facility number 000158.
Facility number 000158 can be filled out by providing all necessary information requested in the form.
The purpose of facility number 000158 is to track and monitor a specific facility and ensure compliance with regulations.
Information such as facility location, contact details, type of operations, and environmental impact must be reported on facility number 000158.
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