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PRINTED: 01/17/2024 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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What is facility number 013019?
Facility number 013019 is a specific identification number assigned to a regulatory facility for tracking and compliance purposes.
Who is required to file facility number 013019?
Entities operating or managing the facility associated with number 013019 are required to file it.
How to fill out facility number 013019?
To fill out facility number 013019, follow the designated form instructions, providing all required facility information accurately.
What is the purpose of facility number 013019?
The purpose of facility number 013019 is to allow regulatory agencies to monitor compliance and manage data related to the facility.
What information must be reported on facility number 013019?
Information such as facility location, operational activities, contact details, and any relevant environmental impacts must be reported.
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