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FOR BHF USELL1
2017
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2017)I.DPH License ID Number:
Facility
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3200 Grant Street is the address for a specific location or property.
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The entity or individual responsible for the property at 3200 Grant Street may be required to file specific documentation relating to the property.
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To fill out information relating to 3200 Grant Street, detailed information about the property or location may need to be provided in the required documentation.
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