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01/30/2020PRINTED: 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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What is facility number 004075?

Facility number 004075 is a unique identifier assigned to a specific facility for reporting purposes.

Who is required to file facility number 004075?

Any entity or organization that owns or operates the facility designated with number 004075 is required to file.

How to fill out facility number 004075?

Facility number 004075 must be filled out by providing all required information accurately and completely in the designated reporting forms.

What is the purpose of facility number 004075?

The purpose of facility number 004075 is to track and monitor activities, compliance, and relevant information regarding the specific facility.

What information must be reported on facility number 004075?

Information such as operational data, environmental impact assessments, safety records, and any other data relevant to the facility must be reported on facility number 004075.

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