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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:15578002/25/2016FORM
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01
To fill out facility number 012225, follow these steps:
02
Begin by locating the facility number field on the form.
03
Enter the digits '012225' in the designated area.
04
Double-check the accuracy of the entered facility number.
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Once verified, proceed to complete the rest of the form.

Who needs facility number 012225?

01
The facility number 012225 is required by individuals or organizations who are associated with or have a connection to the particular facility. This could include employees, contractors, tenants, or any other parties involved in the management or use of the facility.
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Facility number 012225 is a unique identification number assigned to a specific facility.
The entity or individual responsible for the operation of facility number 012225 is required to file it.
The facility number 012225 should be filled out according to the instructions provided by the regulatory agency.
The purpose of facility number 012225 is to accurately identify and track a specific facility for regulatory or administrative purposes.
The specific information required to be reported on facility number 012225 will depend on the regulations or guidelines set forth by the governing agency.
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