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FOR BHF USELL1 2016 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2016)I.DPH License ID Number:
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How to fill out facility name id number
01
Locate the facility name ID number field on the form.
02
Enter the facility name in the designated space next to the ID number.
03
Double-check the accuracy of the ID number and facility name before submitting the form.
Who needs facility name id number?
01
Individuals or organizations who are required to provide identification for a specific facility may need to fill out the facility name ID number.
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