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PRINTED: 01/24/2023
FORM APPROVEDDivision of Health Service Regulation
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA
IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION
A.
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Wolfe Jackson Group Home is a residential facility that provides housing and support services for individuals in need of assistance.
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The administrators or managers of the Wolfe Jackson Group Home are required to file the necessary paperwork.
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