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PRINTED: 08/19/2019 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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Facility number 002724 is a unique identifier assigned to a specific facility.
The entity or organization responsible for the facility is required to file facility number 002724.
Facility number 002724 must be filled out following the guidelines provided by the relevant regulatory authority.
The purpose of facility number 002724 is to track and monitor activities at the specified facility.
Information such as location, size, operations, and compliance status of the facility must be reported on facility number 002724.
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