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PRINTED: 10/27/2020
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 000352?
Facility number 000352 is a unique identifier assigned to a specific facility.
Who is required to file facility number 000352?
The entity or organization responsible for the facility is required to file facility number 000352.
How to fill out facility number 000352?
Facility number 000352 must be filled out according to the guidelines provided by the relevant regulatory body or organization.
What is the purpose of facility number 000352?
The purpose of facility number 000352 is to track and monitor the activities and compliance of the specific facility.
What information must be reported on facility number 000352?
Information such as operations, emissions, waste disposal, and other relevant data must be reported on facility number 000352.
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