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PRINTED: 04/21/2017 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 03 - 0303?
Building 03 - 0303 is a commercial office space located in downtown area.
Who is required to file building 03 - 0303?
The owner or leaseholder of building 03 - 0303 is required to file.
How to fill out building 03 - 0303?
To fill out building 03 - 0303, the owner or leaseholder must provide information about the building's usage, occupants, and safety measures.
What is the purpose of building 03 - 0303?
The purpose of building 03 - 0303 is to ensure compliance with safety regulations and to track occupancy.
What information must be reported on building 03 - 0303?
Information such as number of occupants, emergency exits, safety equipment available, and any violations must be reported on building 03 - 0303.
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