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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15524901/19/2021FORM
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Facility number 000153 is a unique identifier for a specific facility or location.
The entity or individual who owns or operates the facility is required to file facility number 000153.
Facility number 000153 must be filled out according to the instructions provided by the relevant regulatory agency.
The purpose of facility number 000153 is to track and monitor activities at the specific facility or location.
The specific information required to be reported on facility number 000153 will vary depending on the regulations governing the facility.
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