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05/08/2019PRINTED: 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 000369 is a unique identification number assigned to a specific facility.
The entity or individual responsible for the operations of the facility is required to file facility number 000369.
Facility number 000369 must be filled out by providing accurate and complete information about the facility and its operations.
The purpose of facility number 000369 is to track and monitor the activities of the facility for regulatory or compliance purposes.
Information such as location, type of operations, capacity, and any potential risks associated with the facility must be reported on facility number 000369.
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