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PRINTED: 04/20/2021
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 013452?
Facility number 013452 refers to a specific identification number assigned to a facility for regulatory or administrative purposes.
Who is required to file facility number 013452?
Entities operating within the jurisdiction that corresponds to facility number 013452 are required to file, which may include businesses, organizations, or governmental entities.
How to fill out facility number 013452?
To fill out facility number 013452, obtain the necessary forms, provide accurate information regarding the facility, and submit as instructed by the relevant regulatory body.
What is the purpose of facility number 013452?
The purpose of facility number 013452 is to track compliance and regulation related to the operations and activities of the facility for oversight and monitoring.
What information must be reported on facility number 013452?
Information required includes facility name, address, type of operations, ownership details, and any relevant compliance certifications.
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