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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:08/01/2017FORM
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Facility number 012263 is a unique identification number assigned to a specific facility.
The entity or individual responsible for the facility is required to file facility number 012263.
Facility number 012263 can be filled out by providing the required information accurately in the designated forms.
The purpose of facility number 012263 is to track and monitor the activities and compliance of the specified facility.
Information such as facility details, activities carried out, compliance status, and other relevant data must be reported on facility number 012263.
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