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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:15522312/31/2020FORM
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What is facility number 000128?
Facility number 000128 is a unique identifier assigned to a specific facility.
Who is required to file facility number 000128?
The owner or operator of the facility is required to file facility number 000128.
How to fill out facility number 000128?
Facility number 000128 must be filled out by providing all required information accurately and completely.
What is the purpose of facility number 000128?
The purpose of facility number 000128 is to track and monitor activities at the specific facility.
What information must be reported on facility number 000128?
Information such as location, type of facility, contact information, and operational details must be reported on facility number 000128.
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