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Preet Sahi
Email: assistedlivingfacility@gmail.com
Address:
1985 NW 179th Ave.
Pembroke Pines FL 33029
Tel: 954-214-7926
Admissions and Placements
  Name of Senior Citizen*
  Age* yrs
  Sex*
  Contact Person's Name*
  Home Telephone* - -
  Work Telephone* - -
  Cell Phone* - -
  E-mail*
  Diagnosis
   Alert Continent Ambulates ADL assistance
   Confused Incontinent Transfers Independent
  Insurace
Medicare HMO Diversion
  Residents' Budget*
  Placement Time*
   I would like to have a brochure mailed to me.
  If yes, your Address

                
   
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