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05/20/2021PRINTED: 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 000514 is a unique identifying number assigned to a specific facility.
The entity or individual responsible for the operation of the facility is required to file facility number 000514.
Facility number 000514 must be filled out by providing the required information and submitting it to the appropriate authority.
The purpose of facility number 000514 is to accurately identify and track a specific facility for regulatory and reporting purposes.
Information such as facility location, activities conducted, and contact information may need to be reported on facility number 000514.
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