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FOR BHF USELL1 2018STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2018) I.DPH License ID Number: Facility

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Locate the section on the form or document where the facility name and id need to be filled out.

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Write the corresponding identification number of the facility in the space provided.

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Any individual or organization involved in operating or managing a facility may need to provide the facility name and id on various forms, documents, or reports.

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What is facility name amp id?

Facility name amp id is the 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 or through a paper form.

What is the purpose of facility name amp id?

The purpose of facility name amp id is to track and manage facilities effectively.

What information must be reported on facility name amp id?

Facility name, location, and contact information must be reported on facility name amp id.

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