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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15579404/29/2014FORM
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Locate the section on the form labeled 'Facility Number'.
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Enter the number 011151 in the designated space.
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Who needs facility number 011151?

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Individuals or organizations requesting services or information from the facility with the number 011151 may need to provide this number as a reference.
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Facility number 011151 is a unique identification number assigned to a specific facility for regulatory and reporting purposes.
Entities and organizations that operate or manage the facility associated with number 011151 are required to file.
To fill out facility number 011151, complete the required forms with accurate facility information, including name, address, and operational details.
The purpose of facility number 011151 is to track and monitor compliance with regulations applicable to the facility.
Information that must be reported includes facility identification details, operational activities, and compliance status.
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