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DEPARTMENT OF HEALTH SERVICES Division of Medicaid ServicesSTATE OF WISCONSINF01812 (9/2019)WISCONSIN MEDICAID PROGRAM 2019 NURSING HOME COST REPORT Completion of this form is required by Section
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Clement Manor is a non-profit senior living community.
The management of Clement Manor is required to file Clement Manor.
Fill out Clement Manor by providing accurate information about the organization and its financial activities.
The purpose of Clement Manor is to provide housing and care services for seniors in need.
Information such as financial statements, budget, and operational data must be reported on Clement Manor.
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