State of California Fiscal Period JANUARY 1, 2009 THROUGH DECEMBER 31, 2009 _part2

STATE OF CALIFORNIARECLASSIFICATIONS AND/OR ADJUSTMENTS TO REPORTED COSTS Page 1 Provider Number: ZZT05617J 1619979754 206190263 NPI: OSHPD Facility Number: Fiscal Period: JANUARY 1, 2009 THROUGH DECEMBER 31, 2009Schedule 8A-2Provider Name:EISENHOWER NURSING AND CONVALESCENT HOSPITALTOTAL ADJ (Page 1 ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 4 5 6 7 8AUDIT ADJAUDIT ADJAUDIT ADJAUDIT ADJAUDIT ADJAUDIT ADJAUDIT ADJLine SubNo.No.0051Plant Operations and...
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State of California Fiscal Period JANUARY 1, 2009 THROUGH DECEMBER 31, 2009 _part2