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PRINTED: 01/26/2017 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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How to fill out facility number 004429
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What is facility number 004429?
Facility number 004429 is a unique identification number assigned to a specific facility by the regulatory authority.
Who is required to file facility number 004429?
Any entity or individual who operates or owns the facility associated with number 004429 is required to file.
How to fill out facility number 004429?
Facility number 004429 can be filled out by providing all requested information accurately and completely in the designated forms.
What is the purpose of facility number 004429?
The purpose of facility number 004429 is to track and monitor the activities and compliance of the facility with regulatory requirements.
What information must be reported on facility number 004429?
Information such as the name and address of the facility, type of operations conducted, contact information, and any relevant permits or certifications must be reported.
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