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12/12/2022PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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Facility number 000962 is a unique identifier assigned to a specific facility for regulatory or compliance purposes.
Organizations or entities that operate or manage the facility associated with number 000962 are required to file.
To fill out facility number 000962, complete the designated forms with accurate information about the facility, ensuring all required fields are filled out correctly.
The purpose of facility number 000962 is to track compliance with regulatory standards and to maintain records related to environmental or safety practices.
Information that must be reported includes facility details such as name, address, operating parameters, and compliance data.
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