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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: 0026484
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Start by gathering all the necessary information, such as your personal details, medical history, and any specific care needs you may have.
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Complete all the required sections of the application form, ensuring that you provide accurate and detailed information. This may include your full name, date of birth, contact information, insurance details, and emergency contact information.
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Lakeview Nursing & Rehabilitation is a healthcare facility that provides nursing and rehabilitation services to patients.
The administrators or designated representatives of Lakeview Nursing & Rehabilitation are required to file the necessary reports.
The required information must be accurately and completely filled out in the designated forms provided by the regulatory authorities.
The purpose of Lakeview Nursing & Rehabilitation is to provide high-quality healthcare services to patients in need of nursing and rehabilitation care.
Information such as patient demographics, medical history, treatments administered, and outcomes must be reported on Lakeview Nursing & Rehabilitation forms.
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