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PRINTED: 05/16/2018
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 000494?
facility number 000494 is a unique identification number assigned to a specific facility.
Who is required to file facility number 000494?
The entity or individual responsible for the operations of the facility is required to file facility number 000494.
How to fill out facility number 000494?
Facility number 000494 must be filled out by providing all the required information as per the guidelines provided by the regulatory body.
What is the purpose of facility number 000494?
The purpose of facility number 000494 is to ensure regulatory compliance and proper monitoring of activities at the facility.
What information must be reported on facility number 000494?
Information such as operational details, contact information, and any other relevant data must be reported on facility number 000494.
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