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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES01/24/2012FORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO. 09380391STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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What is facility number 004017?
Facility number 004017 is a unique identification number assigned to a specific facility for regulatory or reporting purposes.
Who is required to file facility number 004017?
Entities operating the facility linked to number 004017, including businesses and organizations subject to regulatory requirements, are required to file.
How to fill out facility number 004017?
To fill out facility number 004017, complete the designated form provided by the regulatory authority with the necessary information regarding the facility and its operations.
What is the purpose of facility number 004017?
The purpose of facility number 004017 is to track and manage compliance with regulations, enabling oversight and reporting to relevant authorities.
What information must be reported on facility number 004017?
Required information typically includes facility name, address, owner details, operational data, and compliance information.
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