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.
1 At least 70 percent of people over age 65 will require some long-term care services at some point; more than 40 percent will need care in a nursing home U.S. Department of Health and Human Services, September 2008. 2  The cost of long term care in U.S. has increased for the sixth consecutive year. At least 70 percent of people over age 65 will require some long-term care services at some point; more than 40 percent will need care in a nursing home U.S. Department of Health and Human Services, September 2008. 2  The cost of long term care in U.S. has increased for the sixth consecutive year.