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PRINTED: 01/04/2022 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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To fill out facility number 013126, follow these steps:
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Start by gathering all the necessary information and documents related to the facility.
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Visit the official website of the organization or institution requesting the facility number.
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Facility number 013126 is a unique identifier assigned to a specific facility for regulatory and compliance purposes.
The entity that operates or owns the facility associated with number 013126 is required to file.
To fill out facility number 013126, it is necessary to provide all required information in the designated sections, including facility details and relevant data as per the guidelines.
The purpose of facility number 013126 is to track and manage regulatory compliance for that specific facility.
The information that must be reported includes facility operations, employee details, environmental impact data, and any incidents or non-compliance issues.
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