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PRINTED: 05/27/2020
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 000152?
Facility number 000152 is a unique identifier for a specific facility.
Who is required to file facility number 000152?
The facility owner or operator is required to file facility number 000152.
How to fill out facility number 000152?
Facility number 000152 can be filled out online through the designated portal with the required information.
What is the purpose of facility number 000152?
The purpose of facility number 000152 is to track and monitor activities at the facility for regulatory compliance.
What information must be reported on facility number 000152?
Information such as facility location, type of operation, hazardous materials used, waste generated, and emergency contact details must be reported on facility number 000152.
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