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01/08/2020PRINTED: 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 000542 is a unique identifier assigned to a specific facility by the regulatory agency.
The owner or operator of the facility is required to file facility number 000542.
Facility number 000542 must be filled out online through the regulatory agency's reporting portal.
The purpose of facility number 000542 is to ensure that the regulatory agency has accurate information about the facility and its operations.
Information such as facility location, contact information, type of operation, and environmental impact must be reported on facility number 000542.
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