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PRINTED: 12/30/2020 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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What is facility number 000105?
Facility number 000105 is an identification number assigned to a specific operational site or facility for regulatory or administrative purposes.
Who is required to file facility number 000105?
Any entity or organization that operates or manages the facility associated with facility number 000105 is required to file it.
How to fill out facility number 000105?
To fill out facility number 000105, provide the required information as specified in the filing guidelines, including facility details, owner information, and any regulatory compliance data.
What is the purpose of facility number 000105?
The purpose of facility number 000105 is to track and manage compliance, reporting, and administrative requirements for entities operating within the jurisdiction.
What information must be reported on facility number 000105?
Information that must be reported includes the facility's name, address, ownership details, operational status, and any other specific data required by the relevant authorities.
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