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PRINTED: 12/09/2020 FORM APPROVEDIndiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:(X3) DATE SURVEY COMPLETED12/03/2020STREET
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How to fill out facility number 010887
How to fill out facility number 010887
01
Locate the facility number section on the application form.
02
Enter '010887' in the designated field for facility number.
03
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Who needs facility number 010887?
01
Businesses or organizations that operate or manage the facility associated with number 010887.
02
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03
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What is facility number 010887?
Facility number 010887 is a unique identifier assigned to a specific facility for regulatory or reporting purposes.
Who is required to file facility number 010887?
Entities that operate or manage the facility identified by number 010887 are required to file and report information associated with it.
How to fill out facility number 010887?
Filling out facility number 010887 typically involves completing a designated form with facility details and submitting it to the relevant regulatory body.
What is the purpose of facility number 010887?
The purpose of facility number 010887 is to track and manage facility operations and compliance with regulatory requirements.
What information must be reported on facility number 010887?
Information that must be reported includes facility name, address, contact information, type of operations, and compliance status.
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