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07/08/2020PRINTED: 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 012564?
Facility number 012564 is a unique identifier for a specific facility.
Who is required to file facility number 012564?
The entity or individual responsible for the facility is required to file facility number 012564.
How to fill out facility number 012564?
Facility number 012564 can be filled out by providing all necessary information and following the instructions provided.
What is the purpose of facility number 012564?
The purpose of facility number 012564 is to track and manage the specific facility it represents.
What information must be reported on facility number 012564?
Information such as facility location, maintenance records, and any incidents must be reported on facility number 012564.
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