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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15546406/18/2014FORM
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Step 1: Begin by reviewing the form labeled 'Facility Number 000492' to familiarize yourself with the required information.
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Step 2: Start by providing your personal details such as your full name, address, contact number, and email address.
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Step 3: Proceed to fill in the specific facility-related information, which may include the purpose of the facility, its location, and any other relevant details.
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Step 4: Double-check all the entered information for accuracy and completeness.
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Who needs facility number 000492?

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Anyone who is associated with or responsible for the facility designated by the number 000492 needs to have this facility number. It may be required for administrative, regulatory, or identification purposes.
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Facility number 000492 is a unique identifier assigned to a specific facility or site for regulatory and reporting purposes.
Entities or individuals operating or managing the facility identified by number 000492 are required to file.
To fill out facility number 000492, you need to provide accurate details such as the facility's name, address, ownership information, and any relevant operational data as prescribed by the reporting guidelines.
The purpose of facility number 000492 is to track and manage compliance with regulations, facilitate reporting, and ensure proper oversight of the facility's operations.
Information such as the facility's operational status, environmental impact data, safety records, and compliance history must be reported on facility number 000492.
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