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01/29/2019PRINTED: 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 000391 is a unique identifier assigned to a specific location or facility for regulatory or administrative purposes.
Entities operating or managing facility number 000391 are required to file the necessary documentation associated with it.
To fill out facility number 000391, complete the prescribed forms with accurate information regarding the facility's operations, ownership, and compliance status.
The purpose of facility number 000391 is to ensure regulatory compliance and to facilitate monitoring and reporting by governing bodies.
The information that must be reported includes facility operations, ownership details, environmental impacts, and any violations or incidents.
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