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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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What is form waterford care center?

Form waterford care center is a document used for reporting information related to the care center facility.

Who is required to file form waterford care center?

The administrator or designated staff members of the care center are required to file form waterford care center.

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Form waterford care center can be filled out by entering all the required information in the designated fields as per the instructions provided.

What is the purpose of form waterford care center?

The purpose of form waterford care center is to gather information about the care center facility and report it to the relevant authorities.

What information must be reported on form waterford care center?

Information such as facility name, address, services offered, number of residents, staff members, and any incidents or violations must be reported on form waterford care center.

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