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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
Gather all necessary information about the facility including its name and ID.
02
Locate the designated fields for entering the facility name and ID on the form or application.
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Fill out the facility name accurately in the designated field.
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Enter the facility ID in the designated field using the correct format as required.
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Individuals or organizations applying for services or access to a facility may need to provide the facility name and ID.
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What is facility name amp id?
Facility name amp id is a unique identifier for a specific facility.
Who is required to file facility name amp id?
All facilities are required to file facility name amp id.
How to fill out facility name amp id?
Facility name amp id can be filled out online through the designated platform.
What is the purpose of facility name amp id?
The purpose of facility name amp id is to accurately identify and track each facility.
What information must be reported on facility name amp id?
Facility name, location, type of facility, and contact information must be reported on facility name amp id.
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