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01/14/2020PRINTED: 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 005616 refers to a specific identification number assigned to a facility for regulatory and reporting purposes.
Entities that operate or manage the facility represented by facility number 005616 are required to file.
To fill out facility number 005616, complete the designated forms with accurate facility information, including address, operations, and compliance data.
The purpose of facility number 005616 is to track and monitor the compliance of the facility with relevant regulations and standards.
Information that must be reported includes facility details, operational data, environmental impact, and compliance status.
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