Get the free Administrator (Type or Print Name) CHARLOTTE KOHN
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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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Administrator type or print is a document used to report important information related to an administrator.
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Those individuals who are designated as administrators of a particular entity are required to file administrator type or print.
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To fill out administrator type or print, you must provide accurate information regarding the administrator and their responsibilities.
What is the purpose of administrator type or print?
The purpose of administrator type or print is to ensure transparency and accountability in the administration of an entity.
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On administrator type or print, information such as the name of the administrator, their contact details, and their designated responsibilities must be reported.
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