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Address Information

Address

Number of Beds

Type of Ownership

References (minimum of 2)

physician, hospital or other nursing home and/or commercial or banking and finance (for organizations, please name individual to contact). Please supply the names and telephone numbers.
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Agreement

If accepted to membership, I pledge, on behalf of the facility, to abide by the laws, bylaws, and professional ethics and standards of the Massachusetts Senior Care Association.  In the event of termination of membership, it is hereby agreed that any and all certificates and other indications of membership will be promptly surrendered.