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PRINTED: 05/25/2017
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 01 - 675?
Building 01-675 is a commercial property located in downtown area.
Who is required to file building 01 - 675?
The building owner or the property management company is required to file building 01-675.
How to fill out building 01 - 675?
Building 01-675 can be filled out online on the local government website or in person at the municipal office.
What is the purpose of building 01 - 675?
The purpose of building 01-675 is to ensure compliance with building codes and regulations.
What information must be reported on building 01 - 675?
Information such as square footage, occupancy type, building materials, and safety features must be reported on building 01-675.
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