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FOR BHF USE LL1 2007 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2007) I. DPH License ID Number: Facility
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This is a government form used to report information about a specific entity.
Any entity that meets the criteria set by the governing authority.
The form can be filled out manually or electronically, following the instructions provided by the governing authority.
The purpose of this form is to gather specific information for regulatory or compliance purposes.
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