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11/25/2019PRINTED: 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 011804 is a unique identification number assigned to a specific facility for regulatory compliance and reporting purposes.
Entities operating or managing the facility linked to number 011804 are required to file associated reports or documents.
To fill out facility number 011804, one must complete the designated forms provided by the regulatory body, ensuring that all required information is accurately entered.
The purpose of facility number 011804 is to track and regulate the activities of the facility to ensure compliance with environmental, safety, and operational standards.
Information that must be reported includes the facility's operational data, compliance status, environmental impact assessments, and any incidents or violations.
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