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FOR BHF USE LL1 2006 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2006) I. DPH Facility ID Number: Facility
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Randolph County Care Center-0000497 is a healthcare facility located in Randolph County.
The management or authorized representative of Randolph County Care Center-0000497 is required to file.
Randolph County Care Center-0000497 should be filled out accurately with all required information regarding the facility.
The purpose of Randolph County Care Center-0000497 is to report necessary information about the facility.
Information such as patient demographics, medical services provided, and any incidents at the facility must be reported on Randolph County Care Center-0000497.
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