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PRINTED: 10/18/2021
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 000217?
Facility number 000217 is a unique identifier given to a specific facility by the relevant authority.
Who is required to file facility number 000217?
The entity or individual responsible for the operation or management of the facility is required to file facility number 000217.
How to fill out facility number 000217?
Facility number 000217 can be filled out by providing all the requested information and submitting the form to the appropriate authority.
What is the purpose of facility number 000217?
The purpose of facility number 000217 is to track and monitor the activities and compliance of the facility with relevant regulations.
What information must be reported on facility number 000217?
Information such as facility location, type of operations, waste management practices, and environmental impact assessment may need to be reported on facility number 000217.
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