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FOR OF USELL1 2002STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2002)I.DPH Facility ID Number: Facility Name:0039057II.CERTIFICATION
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New main group home is a form that must be filed by certain entities to report information about their main group home.
Entities that operate a main group home are required to file the new main group home form.
The new main group home form can be filled out online or submitted through mail with the required information.
The purpose of the new main group home form is to provide important information about the main group home to regulatory agencies.
Information such as location, capacity, services offered, and contact information must be reported on the new main group home form.
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