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FOR OH FUSE LL1 2002 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2002) I. DPH Facility ID Number: Facility Name: 0041939
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Willow Creek Rehabilitation-0041939 is a form or document related to a specific rehabilitation program or facility.
The administrators or authorized personnel of the willow creek rehabilitation program are required to file Willow Creek Rehabilitation-0041939.
Willow Creek Rehabilitation-0041939 must be filled out following the instructions provided on the form itself.
The purpose of Willow Creek Rehabilitation-0041939 could be to report on the progress, outcomes, or financial status of the rehabilitation program.
The specific information required to be reported on Willow Creek Rehabilitation-0041939 will vary depending on the nature of the rehabilitation program.
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