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PRINTED: 12/11/2023 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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Individuals who are applying for services at a facility that requires specific identification.
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What is facility number 000100?
Facility number 000100 is a unique identification number assigned to a specific facility.
Who is required to file facility number 000100?
Facility number 000100 must be filed by the owner or operator of the facility.
How to fill out facility number 000100?
Facility number 000100 can be filled out by providing the required information accurately and completely.
What is the purpose of facility number 000100?
The purpose of facility number 000100 is to track and monitor the activities of the specific facility.
What information must be reported on facility number 000100?
Information such as facility location, operation details, and contact information must be reported on facility number 000100.
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