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PRINTED: 07/17/2020
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 000028?
Facility number 000028 is a unique identifier assigned to a particular facility by the governing body.
Who is required to file facility number 000028?
The entity or individual responsible for the operation of the facility is required to file facility number 000028.
How to fill out facility number 000028?
Facility number 000028 should be filled out according to the guidelines provided by the governing body, ensuring all relevant information is accurately reported.
What is the purpose of facility number 000028?
The purpose of facility number 000028 is to track and monitor the activities and compliance of the facility with regulations.
What information must be reported on facility number 000028?
Facility number 000028 requires reporting of basic information about the facility, its operations, and any relevant compliance data.
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