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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:15552306/28/2021FORM
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Facility number 000558 is a unique identifier assigned to a specific facility for regulatory and compliance purposes.
The facility owner or operator is required to file facility number 000558.
To fill out facility number 000558, one must provide accurate information regarding the facility's operations, ownership, and compliance status as per the guidelines provided by the relevant authority.
The purpose of facility number 000558 is to monitor and regulate the activities of the facility to ensure compliance with safety and environmental standards.
Information such as facility location, type of operations, ownership details, and any relevant compliance data must be reported on facility number 000558.
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