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PRINTED: 04/14/2023 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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What is facility number 004426?
Facility number 004426 is a unique identifier assigned to a specific facility for regulatory and reporting purposes.
Who is required to file facility number 004426?
Entities operating or owning the facility associated with number 004426 must file the necessary reports.
How to fill out facility number 004426?
To fill out facility number 004426, one should accurately complete the required forms with the necessary facility details and any supporting documentation.
What is the purpose of facility number 004426?
The purpose of facility number 004426 is to track compliance and regulatory adherence of the facility it represents.
What information must be reported on facility number 004426?
Information such as facility name, address, owner identification, operational details, and compliance data must be reported.
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