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08/12/2019PRINTED: 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 012523 is a unique identification number assigned to a specific facility.
Facility number 012523 must be filed by the owner or operator of the facility.
Facility number 012523 can be filled out by providing all the required information accurately.
The purpose of facility number 012523 is to track and regulate activities at the specific facility.
Information such as facility location, type of operations, and contact details may need to be reported on facility number 012523.
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