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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:15500502/18/2021FORM
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What is facility number 000005?
Facility number 000005 is a unique identification number assigned to a specific facility.
Who is required to file facility number 000005?
The owner or operator of the facility is required to file facility number 000005.
How to fill out facility number 000005?
Facility number 000005 can be filled out by providing the required information online or through a paper form.
What is the purpose of facility number 000005?
The purpose of facility number 000005 is to track and monitor activities at the specific facility.
What information must be reported on facility number 000005?
Information such as address, contact details, type of facility, and activities conducted must be reported on facility number 000005.
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