The most effective way to get in touch with someone by mail is to contact the director for your local IRS district or your local taxpayer assistance center. You should allow 30 days for a response, although in recent years many responses have taken 45 days or longer.
Long-term care facilities include nursing homes, rehabilitation facilities, inpatient behavioral health facilities, and long-term chronic care hospitals.
State Veterans Homes are one of the largest long term care providers in the United States. During 2005, State Veterans Homes furnished 6,852,875 days of nursing home care and 1,477,885 days of domiciliary (assisted living) care.