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PRINTED: 06/13/2024
FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES
CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
IDENTIFICATION
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Facility number 0003237 is needed by administrative staff for record-keeping.
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Patients or clients may need to provide it for accessing services.
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What is facility number 0003237?
Facility number 0003237 is a unique identifier assigned to a specific facility for regulatory or administrative purposes.
Who is required to file facility number 0003237?
The facility owner or operator is required to file facility number 0003237.
How to fill out facility number 0003237?
To fill out facility number 0003237, provide accurate information regarding the facility's details, compliance status, and any other required data as specified by the filing instructions.
What is the purpose of facility number 0003237?
The purpose of facility number 0003237 is to track and regulate the facility for compliance with applicable laws and standards.
What information must be reported on facility number 0003237?
The information that must be reported includes the facility’s name, address, operational details, ownership information, and any compliance-related data.
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