Get the free Facility Name & ID Number Lasalle County Nursing Home - www2 illinois
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FOR BHF USELL1 2021STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2021) I.DPH License ID Number:
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How to fill out facility name amp id
How to fill out facility name amp id
01
Locate the designated space on the form for facility name.
02
Write the name of the facility in the provided space.
03
Identify the section for facility ID.
04
Enter the unique identification number assigned to the facility in the space provided.
Who needs facility name amp id?
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Any individual or organization filling out a form or document that requires identification of a specific facility would need to provide the facility name and ID.
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What is facility name amp id?
The facility name amp id is a unique identifier assigned to a facility.
Who is required to file facility name amp id?
All facility owners or operators are required to file the facility name amp id.
How to fill out facility name amp id?
To fill out the facility name amp id, you will need to provide information about the facility such as name, address, and contact details.
What is the purpose of facility name amp id?
The purpose of the facility name amp id is to easily identify and track information about a specific facility.
What information must be reported on facility name amp id?
The required information to be reported on the facility name amp id includes the facility's name, location, ownership, and contact information.
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