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FOR BHF USELL1 DEPARTMENT OF FINANCIAL AND S FOR LOI.DPH License ID Number: Facility Name:0012765Pinecrest ManorAddress:414 S. Wesley Avenue NumberCounty:OgleTelephone Number:(815) 7344103 Mt. Morris
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The information that must be reported generally includes the full name, physical address, and potentially other identifying details such as tax ID or business registration number, depending on the requirements.
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