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03/01/2021PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION
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Locate the facility number section on the application form.
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Individuals or organizations applying for services related to facility number 000751.
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Staff or administrators responsible for records and applications associated with this facility.
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Facility number 000751 refers to a specific facility that is assigned a unique identifier for regulatory or administrative purposes.
Entities operating or overseeing the facility assigned the number 000751 are required to file necessary documentation related to its operations.
To fill out facility number 000751, one must complete the required forms providing accurate and relevant information about the facility, following any provided guidelines.
The purpose of facility number 000751 is to uniquely identify a facility for tracking, reporting, and regulatory compliance purposes.
The information reported generally includes facility identification, operational details, compliance status, and any relevant operational data.
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