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FOR BHF USELL1
2016
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2016)I.DPH License ID Number:
Facility
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What is 410 nw third box?
410 NW Third Box refers to a specific form used for reporting certain financial or business information to regulatory authorities.
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Information that must be reported includes financial statements, business income, expenses, and other relevant data as specified in the form's instructions.
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