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10/07/2019PRINTED:
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 012565?
Facility number 012565 is a unique identifier assigned to a specific facility or location.
Who is required to file facility number 012565?
The entity or organization in charge of the facility is required to file facility number 012565.
How to fill out facility number 012565?
Facility number 012565 can be filled out by providing the required information including but not limited to location details, contact information, and operational details.
What is the purpose of facility number 012565?
The purpose of facility number 012565 is to accurately identify and track the specific facility for regulatory or operational purposes.
What information must be reported on facility number 012565?
Information such as facility name, address, contact details, operational activities, and regulatory compliance status must be reported on facility number 012565.
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