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PRINTED: 12/10/2019 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:CANNON LIVING CENTER, THE (X4)
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What is facility number 012688?
Facility number 012688 is a unique identification number assigned to a specific facility.
Who is required to file facility number 012688?
The entity or individual operating the facility is required to file facility number 012688.
How to fill out facility number 012688?
Facility number 012688 can be filled out by providing accurate and up-to-date information about the facility.
What is the purpose of facility number 012688?
The purpose of facility number 012688 is to track and monitor the activities and compliance of the facility.
What information must be reported on facility number 012688?
Information such as facility location, contact details, operating hours, and type of activities must be reported on facility number 012688.
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