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06/28/2018PRINTED: 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 012528 is a unique identifier used to track a specific facility for regulatory or reporting purposes.
Entities that operate or manage the facility assigned the number 012528 are required to file.
To fill out facility number 012528, you must gather the required data specific to the facility, provide accurate identification information, and complete any designated forms according to regulatory guidelines.
The purpose of facility number 012528 is to monitor and manage environmental, safety, or health regulations associated with the facility.
Information that must be reported includes facility operations, emissions, waste management practices, and compliance status with applicable regulations.
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