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Revenue A. SLF Resident Care Gross SLF Resident Revenue Discounts and Allowances SUBTOTAL Resident Care line 1 minus line 2 B. Declaration of preparer other than provider is based on all information of which preparer has any knowledge. 34 913 IX. RENTAL COSTS A. Building and Fixed Equipment 1. Name of Party Holding Lease Date of Rental Total Yrs. of Units Lease Renewal Option Original / / 3 Building 4 Additions X. Attach an additional schedule if necessary. RELATED SLF s HEALTH CARE...
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Individuals who are required to apply for permits or licenses for their facilities need a facility id number.
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Healthcare institutions or providers may need a facility id number for identification and compliance purposes.
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Facility id number is a unique identifier assigned to a particular facility.
Any entity or individual operating a facility that is required to obtain a facility id number.
Facility id number can be filled out by submitting the necessary information to the relevant regulatory agency.
The purpose of facility id number is to accurately identify and track information about a specific facility.
Information such as the location, contact information, and type of facility must be reported on facility id number.
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