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DEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15525507/23/2020FORM
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What is facility number 000158?
Facility number 000158 is a unique identifier assigned to a specific location or establishment.
Who is required to file facility number 000158?
The entity or individual responsible for the operation of the facility is required to file facility number 000158.
How to fill out facility number 000158?
Facility number 000158 can be filled out by providing all the required information accurately in the designated sections.
What is the purpose of facility number 000158?
The purpose of facility number 000158 is to track and monitor activities at the specific facility for regulatory or compliance purposes.
What information must be reported on facility number 000158?
Information such as location address, contact details, operational activities, and any relevant permits or licenses must be reported on facility number 000158.
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