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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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Facility number 000565 is a unique identification number assigned to a specific facility by a governing authority.
The entity or individual responsible for the operation of the facility is required to file 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.
The purpose of facility number 000565 is to provide a means of identification and tracking for a specific facility.
Information such as facility location, ownership, operations, and any relevant compliance data must be reported on facility number 000565.
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