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FOR BHF USE LL1 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT COST REPORT FOR LONG-TERM CARE FACILITIES FISCAL YEAR 2008 I. IDPH License ID Number Facility Name 0028472 II. IMPORTANT NOTICE THIS AGENCY IS REQUESTING DISCLOSURE OF INFORMATION THAT IS NECESSARY TO ACCOMPLISH THE STATUTORY PURPOSE AS OUTLINED IN 210 ILCS 45/3-208. IDPH License ID Number Facility Name 0028472 II. IMPORTANT NOTICE THIS AGENCY IS REQUESTING DISCLOSURE OF INFORMATION...

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What is fax 618826-3821?

Fax 618826-3821 is a form used for submitting documents via fax machine.

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