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FOR BHF USELL1 2012 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2012)I.DPH License ID Number:

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How to fill out facility name amp id

01

Locate the field labeled 'Facility Name' on the form.

02

Enter the name of the facility in the designated space.

03

Locate the field labeled 'Facility ID' on the form.

04

Enter the unique identification number of the facility in the designated space.

Who needs facility name amp id?

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Any individual or organization that is required to provide information about a specific facility may need to fill out the facility name and ID. This information is often necessary for regulatory purposes or for internal record-keeping.

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What is facility name amp id?

Facility name amp id is a unique identifier given to a facility.

Who is required to file facility name amp id?

Any facility owner or operator is required to file facility name amp id.

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Facility name amp id can be filled out online through the designated portal.

What is the purpose of facility name amp id?

The purpose of facility name amp id is to track and identify specific facilities.

What information must be reported on facility name amp id?

The information required includes the name of the facility, address, and contact information.

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