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FOR BHF USELL1
2021STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2021)
I.DPH License ID Number:
Facility
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Title regional director is a position within a company that oversees operations in a specific region.
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The individual holding the title of regional director is required to file.
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The title of regional director should be filled out on company forms or documents where applicable.
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