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PRINTED: 06/29/2020
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 000490?
Facility number 000490 refers to a specific identification number assigned to a particular facility for tracking and regulatory purposes.
Who is required to file facility number 000490?
The entity or individual responsible for the operation or management of the facility is typically required to file facility number 000490.
How to fill out facility number 000490?
Facility number 000490 can be filled out by providing the necessary information such as facility details, operational activities, and any relevant supporting documentation.
What is the purpose of facility number 000490?
The purpose of facility number 000490 is to monitor and regulate the operations of the specific facility for compliance and accountability.
What information must be reported on facility number 000490?
Information such as facility location, operational activities, waste management procedures, and any potential environmental impacts must be reported on facility number 000490.
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