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05/16/2019PRINTED: 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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Facility number 000058 is a unique identifier assigned to a specific facility that is subjected to regulatory requirements.
Entities operating or managing facility number 000058 are required to file the necessary documentation associated with it.
To fill out facility number 000058, follow the provided forms, ensure all required sections are completed accurately, and submit them as per the guidelines.
The purpose of facility number 000058 is to ensure compliance with regulatory requirements and to monitor operations associated with the facility.
Information that must be reported includes facility details, operational data, compliance measures, and any incidents occurring within the reporting period.
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