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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: 0022608
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The village nursing home-0022608xls form is a document that must be filled out by nursing homes located in villages.
Nursing homes located in villages are required to file the village nursing home-0022608xls form.
To fill out the village nursing home-0022608xls form, the nursing home must provide detailed information about their operations, finances, and services.
The purpose of the village nursing home-0022608xls form is to collect data about nursing homes in villages for regulatory and statistical purposes.
The village nursing home-0022608xls form requires information on the number of patients, staff, services provided, and financial information of the nursing home.
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