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12/21/2020PRINTED: 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 011049 is a unique identification number assigned to a specific facility.
Any organization or individual who owns or operates the facility is required to file facility number 011049.
Facility number 011049 can be filled out by providing all the necessary information about the facility as requested on the form.
The purpose of facility number 011049 is to track and monitor the activities of the facility for regulatory compliance and reporting purposes.
Information such as the location, size, type of facility, activities conducted at the facility, and contact information of the facility owner/operator must be reported on facility number 011049.
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