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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:15132811/21/2014FORM

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What is facility number 004683 survey?

Facility number 004683 survey is a form used to collect information about a specific facility.

Who is required to file facility number 004683 survey?

All facilities assigned with facility number 004683 are required to file the survey.

How to fill out facility number 004683 survey?

Facility number 004683 survey can be filled out online or submitted through mail as per the instructions provided.

What is the purpose of facility number 004683 survey?

The purpose of facility number 004683 survey is to gather data about the operations and compliance of the facility.

What information must be reported on facility number 004683 survey?

Facility number 004683 survey requires information about the facility's activities, emissions, waste management, and compliance with regulations.

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