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FOR OH FUSE LL1 2000 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2000) I. DPH Facility ID Number: Facility Name: 0041574
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Mattoon Health Care Center-0041574 is a healthcare facility located in Mattoon, Illinois.
The administrators or designated individuals of Mattoon Health Care Center-0041574 are required to file the necessary documentation.
To fill out Mattoon Health Care Center-0041574, detailed information about the healthcare facility, its services, and financial data must be provided in the designated sections of the form.
The purpose of Mattoon Health Care Center-0041574 is to gather information about the operations and financial status of the healthcare facility for regulatory and reporting purposes.
Information such as patient demographics, services provided, revenue and expenses, staffing levels, and compliance with healthcare regulations must be reported on Mattoon Health Care Center-0041574.
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ILLINOIS 1999 2000 MATTOON OHF 36col 41col 46col 10a ICF VII SNF 10A-3 IDPH xii preparer 28a reclassification xviii PRIL XIX Licensure IMRF HPSI Inservice Alpharetta Outpatients 1999Ending Liab Habilitation ILCS

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