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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:
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Administrator type or print is a form used to report information about an administrator or administrator type.
Any individual or entity acting as an administrator or administrator type is required to file this form.
Administrator type or print can be filled out by providing accurate information about the administrator or administrator type, including their name, contact information, and specific details of their role.
The purpose of administrator type or print is to ensure that accurate information about administrators or administrator types is reported to the appropriate authorities.
On administrator type or print, information such as the administrator's name, contact details, and specific responsibilities must be reported.
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