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The YMCA of Downtown Manchester, a branch of The Granite YMCACHILD CARE CHANGE Orchids Name: Date of Birth: Parent/Guardian Name: Phone Number: Program (check program that this form is impacting):
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Five Towns Jewish Home is a senior living facility located in New York.
The management or owners of Five Towns Jewish Home are required to file.
The form for Five Towns Jewish Home can be filled out online or submitted in person at the facility.
The purpose of Five Towns Jewish Home is to provide care and assistance to elderly residents.
Information such as resident demographics, medical history, and level of care needed must be reported on Five Towns Jewish Home.
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