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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:15G75202/06/2017FORM
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01
To fill out facility number 011871, follow these steps:
02
Open the facility form/document.
03
Locate the field labeled 'Facility Number'.
04
Enter '011871' in the designated field.
05
Review the rest of the form/document for any additional information or sections that may need to be filled out.
06
Complete the form/document as required, providing accurate and relevant information.
07
Double-check all the entered details for accuracy and completeness.
08
Submit the filled-out facility form/document as per the prescribed instructions or guidelines.

Who needs facility number 011871?

01
People or organizations involved in the specific facility, such as:
02
- Facility managers or administrators
03
- Regulatory authorities
04
- Inspectors
05
- Contractors or service providers
06
- Anyone responsible for the maintenance, management, or oversight of the facility with the designated number 011871
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Facility number 011871 is a unique identifier assigned to a specific facility by the regulatory agency.
Any organization or individual that operates the facility associated with facility number 011871 is required to file the necessary reports.
Facility number 011871 should be filled out by providing all required information accurately and completely as per the guidelines provided by the regulatory agency.
The purpose of facility number 011871 is to track and monitor activities at the specific facility for regulatory compliance.
Information such as operational details, production activities, environmental impacts, and compliance status may need to be reported on facility number 011871.
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