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FOR OF USELL1 2000STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2000)I.DPH Facility ID Number: Facility Name:0040774II.IMPORTANT
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Walnut Ridge Rehab Amp is a form used to report rehabilitation expenses.
Healthcare facilities and providers that have incurred rehabilitation expenses are required to file Walnut Ridge Rehab Amp.
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The purpose of Walnut Ridge Rehab Amp is to report and track rehabilitation expenses for healthcare facilities and providers.
The form requires details on the total rehabilitation expenses incurred by the healthcare facility or provider.
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