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FOR BHF USE LL1 2005 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2005) I. DPH Facility ID Number: Facility
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Tanner Place-0035139 - Illinois is a form or document used for reporting certain information to the state of Illinois.
Individuals or entities meeting certain criteria set by the state of Illinois are required to file Tanner Place-0035139.
To fill out Tanner Place-0035139 - Illinois, one must provide the required information accurately and completely as per the guidelines provided by the state.
The purpose of Tanner Place-0035139 - Illinois is to gather specific information from individuals or entities for regulatory or taxation purposes.
The information to be reported on Tanner Place-0035139 - Illinois may include financial data, personal information, or any other details required by the state.
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