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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: 0046417
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Evergreen Nursing & Rehabilitation is a healthcare facility that provides nursing and rehabilitation services to patients.
The administrators or designated staff members of Evergreen Nursing & Rehabilitation are required to file the necessary reports.
The reports for Evergreen Nursing & Rehabilitation can be filled out online through the designated portal or using paper forms provided by the regulatory agency.
The purpose of Evergreen Nursing & Rehabilitation is to provide quality healthcare services to patients in need of nursing and rehabilitation care.
The reports for Evergreen Nursing & Rehabilitation must include details about patient care, staffing levels, quality measures, and financial information.
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