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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:15G14808/27/2020FORM
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Facility number 000684 is a unique identifier assigned to a specific facility by the regulatory agency.
The entity or individual responsible for the operation or maintenance of the facility is required to file facility number 000684.
Facility number 000684 can be filled out by providing the required information accurately and submitting it to the designated agency or department.
The purpose of facility number 000684 is to track and monitor the activities and compliance of the specific facility with regulations and standards.
The information that must be reported on facility number 000684 includes details about the facility's operation, maintenance, and any incidents or violations that occurred.
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