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FOR OH FUSE LL1 2000 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2000) I. DPH Facility ID Number: Facility Name: 0004077
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Ambassador Nursing Center- -0004077 refers to a specific nursing center with the given identification number.
The entity or individual responsible for the management or ownership of the Ambassador Nursing Center- -0004077 is required to file it.
To fill out Ambassador Nursing Center- -0004077, the required information needs to be entered in the designated fields of the respective form or document.
The purpose of Ambassador Nursing Center- -0004077 is to provide nursing and healthcare services to the individuals residing in it.
The information that must be reported on Ambassador Nursing Center- -0004077 typically includes details such as the facility's name, location, staff information, resident demographics, and any specific incidents or activities related to the center.
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