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FOR BHF USELL1
2014
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2014)I.DPH License ID Number:
Facility
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How to fill out facility name amp id
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Locate the designated field or section on the form where facility name and ID are requested.
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Enter the full name of the facility in the specified space provided.
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Enter the unique identification number or code assigned to the facility in the designated area.
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Anyone who is completing a form or document that requires identification of a specific facility, such as employees, contractors, or regulatory agencies.
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What is facility name amp id?
Facility name amp id is a unique identifier for a facility.
Who is required to file facility name amp id?
All facilities are required to file facility name amp id.
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Facility name amp id can be filled out online on the designated platform.
What is the purpose of facility name amp id?
The purpose of facility name amp id is to track and identify facilities.
What information must be reported on facility name amp id?
Facility name and the unique id assigned to the facility must be reported.
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