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PRINTED: 12/22/2020 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X3) DATE SURVEY COMPLETED12/17/2020STREET
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What is facility number 004352?
Facility number 004352 is a unique identifier assigned to a specific facility for reporting purposes.
Who is required to file facility number 004352?
The entity responsible for the facility is required to file facility number 004352.
How to fill out facility number 004352?
Facility number 004352 can be filled out by providing the required information as per the reporting guidelines.
What is the purpose of facility number 004352?
The purpose of facility number 004352 is to track and report data related to the specific facility.
What information must be reported on facility number 004352?
Information such as operational details, production data, and any regulatory compliance information must be reported on facility number 004352.
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