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Facility Name

Address

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

Phone

Emergency Off Hours Phone

Website

Services Provided

Skilled Nursing

Rehabilitation

Assisted Living

CCRC

Independent Living

Memory Care

Secure Memory Care

Dialysis Unit

Onsite Physical Therapy

Onsite Occupational Therapy

Onsite Speech Therapy

ICF/ID Care

Type

For Profit

Nonprofit

Owner/Operator

Type

Owner

Management Company

CEO

CEO Phone

CEO Email

CFO/COO Name

CFO Phone

CFO Email

Administrator(Required)

First Last

Administrator Title(Required)

Administrator Email(Required)

Administrator Direct Phone(Required)

Administrator Cell Phone(Required)

Business Office Manager(Required)

First Last

Business Officer Cell Phone

Business Officer Email(Required)

Accounts Payable Manager (if different)

First Last

Accounts Payable Officer Email

Facilities/Maintenance Director(Required)

First Last

Facilities/Maintenance Director Title(Required)

Facilities Director Email(Required)

Facilities Director Cell Phone(Required)

Director of Nursing Director(Required)

First Last

Director of Nursing Title(Required)

Director of Nursing Email(Required)

Director of Nursing Cell Phone(Required)

Assistant Director of Nursing Director

First Last

Assistant Director of Nursing Title

Assistant Director of Nursing Email

Assistant Director of Nursing Phone

Medical Director

First Last

Medical Director Email

Infection Preventionist

First Last

Infection Preventionist Email

Staff Developer

First Last

Staff Developer Email

Admission Director

First Last

Admission Director Email

HR Director

First Last

HR Director Email

Marketing Director

First Last

Marketing Director Email

Social Worker Director

First Last

Social Worker Director Email

Food Service Director

First Last

Food Service Director Email

MDS

First Last

MDS Email

Please list the name, title, and email of other members of your organization who should receive DHCFA communication.

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AHCA/NCAL
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Delaware Division of Health Care Quality
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DHCFA is dedicated to enhance the quality of life of individuals in our facilities by promoting high standards of care. DHCFA supports its members in delivering accessible, efficient, quality long-term care and a continuum of related services to those they serve.

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