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06/11/2018PRINTED: 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 004396 is a unique identification number assigned to a specific facility for tracking and reporting purposes.
All operators or owners of the facility are required to file facility number 004396.
Facility number 004396 must be filled out by providing relevant information about the facility such as location, operations, and contact details.
The purpose of facility number 004396 is to ensure proper monitoring, regulation, and compliance of the facility with applicable laws and regulations.
Information such as facility location, type of operations, contact information, and any relevant permits or certifications must be reported on facility number 004396.
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