Dec
03
- Provider Name:
- Location (ICF Site Name):
- Number of people residing at the location as of 11/30/24:
- The number of people at the location not covered by Medicaid (i.e., # of Private Pay clients) as of 11/30/24:
- The number of DOH citation related to infection control at each location from 2020 to date and the tag number:
- Has this site participated with the RISE program?
You may supply the data by typing the responses after each question in an email reply, or by attaching a spreadsheet with the following columns completed: