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FOR OH FUSE LL1 2004 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2004) I. DPH Facility ID Number: Facility Name: 0044487
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Greenbrier Lodge - HFS is a form used to report personal information of individuals who have stayed at a lodge or hotel.
Any lodge or hotel owner or operator who has individuals staying at their establishment is required to file the greenbrier lodge - hfs form.
The greenbrier lodge - hfs form can be filled out online or in paper form, depending on the preferred method of the lodge or hotel owner or operator. The form requires personal information of the individuals staying at the establishment.
The purpose of greenbrier lodge - hfs is to track and report personal information of individuals staying at lodges or hotels for regulatory and safety purposes.
The greenbrier lodge - hfs form requires information such as the names, contact details, and stay duration of the individuals staying at the lodge or hotel.
The deadline to file greenbrier lodge - hfs in 2023 is usually on the last day of the month following the end of the reporting period.
The penalty for the late filing of greenbrier lodge - hfs can vary depending on the jurisdiction, but it may include fines or other disciplinary actions against the lodge or hotel owner or operator.
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