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PRINTED: 07/29/2020 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 012305?
Facility number 012305 is a unique identifier assigned to a specific facility.
Who is required to file facility number 012305?
The entity or individual responsible for the facility is required to file facility number 012305.
How to fill out facility number 012305?
Facility number 012305 can be filled out online through the designated platform or by submitting a physical form to the relevant authority.
What is the purpose of facility number 012305?
The purpose of facility number 012305 is to track and monitor information related to the specific facility it represents.
What information must be reported on facility number 012305?
Information such as operational details, contact information, environmental impact, and compliance status must be reported on facility number 012305.
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