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FOR BHF USELL1
2015
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2015)I.DPH License ID Number:
Facility
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What is administrator type or print?
Administrator type or print refers to a specific form or document used to report administrative information.
Who is required to file administrator type or print?
Any entity or individual appointed as an administrator may be required to file the administrator type or print.
How to fill out administrator type or print?
To fill out the administrator type or print, the individual or entity must provide all required administrative information accurately.
What is the purpose of administrator type or print?
The purpose of administrator type or print is to document and report administrative information for record-keeping and compliance purposes.
What information must be reported on administrator type or print?
The administrator type or print may require information such as names, titles, dates, and any relevant administrative details.
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