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FOR OF USELL1
2004STATE OF ILLINOIS
DEPARTMENT OF PUBLIC AID
FINANCIAL AND STATISTICAL REPORT FOR
LONGER CARE FACILITIES
(FISCAL YEAR 2004)
I.DPH Facility ID Number:
Facility Name:0027458II.IMPORTANT
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Manorcare at Decatur is a type of form that needs to be filed with the relevant authority for reporting certain information.
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