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09/24/2018PRINTED: 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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To fill out facility number 011765, follow these steps:
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Start by locating the form or document that requires the facility number.
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For further clarification, it is recommended to reach out to the organization or department responsible for managing facility 011765.
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What is facility number 011765?
Facility number 011765 is a unique identification number assigned to a specific facility.
Who is required to file facility number 011765?
The entity or individual responsible for the facility is required to file facility number 011765.
How to fill out facility number 011765?
Facility number 011765 can be filled out by providing the required information about the facility in the designated form.
What is the purpose of facility number 011765?
The purpose of facility number 011765 is to accurately identify and track information about a specific facility.
What information must be reported on facility number 011765?
Information such as location, type of facility, ownership details, and other relevant data must be reported on facility number 011765.
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