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04/11/2018PRINTED: 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 000864 is a unique identifier assigned to a specific facility, used for regulatory and administrative purposes.
Entities that operate or manage the facility associated with number 000864 are required to file the necessary documentation.
To fill out facility number 000864, one must complete the required forms, providing accurate information about the facility's operations, ownership, and compliance status.
The purpose of facility number 000864 is to track and monitor the facility's compliance with regulatory requirements and ensure proper management of its operations.
Information such as facility name, address, type of operations, ownership details, and compliance status must be reported.
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