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02/05/2019PRINTED:
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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What is facility number 000565?
Facility number 000565 is a unique identification number assigned to a specific facility by a governing authority.
Who is required to file facility number 000565?
The entity or individual responsible for the operation of the facility is required to file facility number 000565.
How to fill out facility number 000565?
Facility number 000565 should be filled out with accurate and up-to-date information related to the specific facility it is assigned to.
What is the purpose of facility number 000565?
The purpose of facility number 000565 is to provide a means of identification and tracking for a specific facility.
What information must be reported on facility number 000565?
Information such as facility location, ownership, operations, and any relevant compliance data must be reported on facility number 000565.
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