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FOR BHF USELL1 2020STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2020)I.DPH License ID Number:

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Locate the facility name and id field on the given form or document.

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Enter the full name of the facility in the designated space.

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What is facility name amp id?

Facility name amp id is the unique identifier assigned to a facility.

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Basic information such as facility name, location, contact information, and facility type must be reported on facility name amp id.

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