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03/02/2020PRINTED: 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 000365 is a unique identifier for a specific facility.
The entity or person responsible for the operation of the facility is required to file facility number 000365.
Facility number 000365 must be filled out by providing all the required information accurately and completely.
The purpose of facility number 000365 is to track and monitor activities related to the specific facility.
The information required to be reported on facility number 000365 includes details about the operations, maintenance, and any incidents related to the facility.
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