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FOR OF USELL1 2003STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2003)I.DPH Facility ID Number: Facility Name:0009530II.CERTIFICATION

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What is harbor crest home?

Harbor Crest Home is a residential care facility for individuals who need assistance with daily activities.

Who is required to file harbor crest home?

Owners/operators of Harbor Crest Home are required to file.

How to fill out harbor crest home?

To fill out harbor crest home, owners/operators must provide information about the facility, residents, and staff.

What is the purpose of harbor crest home?

The purpose of harbor crest home is to ensure the well-being and safety of the residents.

What information must be reported on harbor crest home?

Information such as resident demographics, staff qualifications, safety protocols, and facility amenities must be reported.

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