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PRINTED: 08/29/2017 FORM APPROVEDDivision of Health I'm movement STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER(X3) DATE SURVEY COMPLETEDBUILDING
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4denfi446-41 - health facility is a unique identifier for a health facility.
Health facility administrators or managers are required to file 4denfi446-41.
To fill out 4denfi446-41, you need to provide specific information about the health facility such as name, location, services offered, and contact details.
The purpose of 4denfi446-41 is to accurately identify and categorize health facilities for reporting, tracking, and monitoring purposes.
Information such as facility name, address, services provided, licensing information, and contact details must be reported on 4denfi446-41.
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