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PRINTED: 02/20/2023 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 004902?
Facility number 004902 is a unique identifier assigned to a specific facility for regulatory or reporting purposes.
Who is required to file facility number 004902?
Entities operating or managing the facility associated with number 004902 are required to file related information.
How to fill out facility number 004902?
To fill out facility number 004902, complete the designated form with accurate information regarding the facility's operations, location, and ownership.
What is the purpose of facility number 004902?
The purpose of facility number 004902 is to track regulatory compliance and operational data related to the specific facility.
What information must be reported on facility number 004902?
The information that must be reported includes facility details, operational status, ownership, and any relevant permits or licenses.
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