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Facility Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Administrator

Cell Phone

Facility Phone Number

Website

License #

Starting Rates

Rooms with private baths available

Yes
No

Community Fee (If applicable)

Respite daily rate

Level of Care starting rate

Other Charges

I.e. (Cable) (Private Phone) (Pet Deposit) (Cosmetologist)

Hospice Waiver

Yes
No

Awake overnight staff

Yes
No

Accept Pets

Yes
No

Breed Restrictions

Pet Deposit (if applicable)

Smoking allowed

Yes
No

E-cigarettes allowed

Yes
No

Transportation provided to medical appointments

Yes
No

Companion available to escort to medical appointments

Yes
No

Nurse available

Yes
No

Physician available

Yes
No

Podiatrist

Yes
No

Licensed cosmetologist available

Yes
No

Fenced

Yes
No

Bathtub

Yes
No

Resident vehicles allowed

Yes
No

Are you willing and available to do emergency move ins

Yes
No

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210 Estates Dr Suite 101 Roseville, CA 95678 (916) 370-0131 main office (916) 826-6948 secondary office (916) 297-7007 fax

210 Estates Dr Suite 101
Roseville, CA 95678
(916) 370-0131 main office
(916) 826-6948 secondary office
(916) 297-7007 fax