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FOR OH FUSE LL1 2000 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2000) I. DPH Facility ID Number: Facility Name: 0040683
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Alden-Long Grove Rehab amp is a form used to report rehabilitation activities at the Alden-Long Grove facility.
The facility manager or designated representative is required to file the Alden-Long Grove Rehab amp form.
The form should be completed with details of all rehabilitation activities carried out at the facility during the reporting period.
The purpose of the form is to document and report on rehabilitation efforts at the Alden-Long Grove facility.
Information such as types of rehabilitation activities, duration of activities, and outcomes of the activities must be reported on the form.
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