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PRINTED: 06/23/2014 FORM APPROVED Illinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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What is lexington hlth cr ctr-blmngdl?
Lexington hlth cr ctr-blmngdl is a form used for reporting healthcare contributions.
Who is required to file lexington hlth cr ctr-blmngdl?
Employers and healthcare providers are required to file lexington hlth cr ctr-blmngdl.
How to fill out lexington hlth cr ctr-blmngdl?
To fill out lexington hlth cr ctr-blmngdl, you need to provide details of healthcare contributions made.
What is the purpose of lexington hlth cr ctr-blmngdl?
The purpose of lexington hlth cr ctr-blmngdl is to report healthcare contributions for tax purposes.
What information must be reported on lexington hlth cr ctr-blmngdl?
Information such as contribution amounts, dates, and recipient details must be reported on lexington hlth cr ctr-blmngdl.
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