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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: 0028852
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Polo Rehab AMP HCC-0028852 is a unique identifier for a specific rehabilitation facility under the Medicare program.
Rehabilitation facilities that are enrolled in the Medicare program are required to file polo rehab AMP HCC-0028852.
Polo Rehab AMP HCC-0028852 must be filled out with accurate and up-to-date information about the rehabilitation facility and its services.
The purpose of polo rehab AMP HCC-0028852 is to track and identify specific rehabilitation facilities for billing and reimbursement purposes within the Medicare program.
Information such as facility name, address, services provided, accreditation status, and other relevant details must be reported on polo rehab AMP HCC-0028852.
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