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DEPARTMENT OF HEALTH SERVICES Division of Long Term Reinstate OF WISCONSINF01812 (9/2016)WISCONSIN MEDICAID PROGRAM 2016 NURSING HOME COST REPORT Completion of this form is required by Section 1.171

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Juliette Manor is a residential facility or program that typically provides services for individuals with specific needs, often related to healthcare, housing, or social support.

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Information that must be reported on Juliette Manor generally includes resident demographics, service types, staffing levels, compliance with regulations, and financial records.

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