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FOR OH FUSE LL1 2002 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2002) I. DPH Facility ID Number: Facility Name: 0038166
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The purpose of the jerseyville manor-0038166xls form is to gather financial data and report relevant information about Jerseyville Manor's operations.
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The jerseyville manor-0038166xls form requires reporting of various financial information, such as income, expenses, assets, and liabilities. Specific details on the form will guide you on the information to be provided.
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