
Get the free Administrator (Type or Print Name) Andrew Kazmierczak - hfs illinois
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FOR BHF USELL1
2020STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2020)
I.DPH License ID Number:
Facility
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What is administrator type or print?
Administrator type or print refers to the form or document that needs to be filled out by an individual responsible for managing administrative tasks within an organization.
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