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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:15516505/31/2022FORM
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Facility number 000082 is a unique identification number assigned to a specific facility.
The entity or individual responsible for the operations of the facility is required to file facility number 000082.
Facility number 000082 must be filled out by providing all the required information about the facility as specified in the filing instructions.
The purpose of facility number 000082 is to track and monitor the activities and compliance of the specific facility.
Information such as operational details, contact information, facility location, and compliance status must be reported on facility number 000082.
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