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FOR BHF USELL1
2005
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT FOR
LONGER CARE FACILITIES
(FISCAL YEAR 2005)I.DPH Facility ID Number:
Facility
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What is 1313 Pratt Street?
1313 Pratt Street is the address of a specific location.
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Individuals or entities with a legal connection to the address may be required to file.
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The purpose of 1313 Pratt Street form is to collect specific information related to the address.
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