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DEPARTMENT OF HEALTH SERVICES Division of Long Term Reinstate OF WISCONSINF01812 (4/2015)WISCONSIN MEDICAID PROGRAM 2014 NURSING HOME COST REPORT Completion of this form is required by Section 1.171
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Mary's Care Center is a facility that provides medical and personal care services to individuals in need.
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The purpose of Mary's Care Center is to ensure quality care and support for individuals who require medical and personal assistance.
Information that must be reported on Mary's Care Center includes patient demographics, medical history, treatment plans, and staff credentials.
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