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03/21/2023PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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The facility number 000178 is a unique identifier assigned to a specific facility for regulatory purposes.
The facility owner or operator is required to file facility number 000178.
Facility number 000178 should be filled out by providing all the required information accurately and completely.
The purpose of facility number 000178 is to track and monitor the activities of the facility for regulatory compliance.
Information such as facility location, type of operations, storage of hazardous materials, and emergency contact details must be reported on facility number 000178.
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