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FOR BHF USE LL1 2014 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2014) I. DPH License ID Number:
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This is a specific form or report related to Maple Lawn Health Center in Illinois.
The Maple Lawn Health Center or their authorized representative is required to file this form.
The form should be filled out with accurate and up-to-date information regarding the health center's operations, finances, and any other required details as per the instructions provided.
The purpose of this form is to provide relevant information about the Maple Lawn Health Center for regulatory or compliance purposes.
The form may require information such as financial statements, patient statistics, operational details, and any other relevant data specified in the form.
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