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FOR OH FUSE LL1 2003 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2003) I. DPH Facility ID Number: Facility Name: 0045245
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Prairie Rose Health Care is a healthcare provider offering a range of services.
Any individual or entity that receives healthcare services from Prairie Rose Health Care may be required to file.
To fill out Prairie Rose Health Care forms, you will need to provide information about the healthcare services you received.
The purpose of Prairie Rose Health Care is to track and report healthcare services provided to individuals or entities.
Information such as the type of healthcare service received, date of service, and any associated costs must be reported on Prairie Rose Health Care forms.
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