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01/11/2021PRINTED: 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 012548 is a unique identifier for a specific facility.
The owner or operator of the facility is required to file facility number 012548.
Facility number 012548 can be filled out by providing all the required information accurately in the designated fields.
The purpose of facility number 012548 is to track and monitor the activities of the facility.
Information such as the location, operations, and environmental impact of the facility must be reported on facility number 012548.
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