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08/16/2022PRINTED: 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 000466 is a unique identifier assigned to a specific facility.
The entity or individual responsible for the facility is required to file facility number 000466.
To fill out facility number 000466, the required information must be entered into the appropriate fields as per the guidelines.
The purpose of facility number 000466 is to track and monitor activities related to the specific facility.
Information such as location, type of facility, activities conducted, and any relevant records must be reported on facility number 000466.
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