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3952 Columbia Avenue West Hempfield Twp., PAwww.stannesrc.org APPLICATION FOR ADMISSION
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Document Date: 2014-11-19 09:14:09


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Company

St. Anne’s Retirement Community Inc. / /

Facility

THEY WILL BE TRANSFERRED TO THE HOSPITAL OF THEIR CHOICE / Other Facility / _____Residence _____Hospital _____Health Facility If Hospital / Cottage How / /

Movie

Power of Attorney / /

Organization

_____Residence _____Hospital _____Health Facility If Hospital / Burial Trust / Applicant/Responsible Party / Medicare / /

/

Position

Attorney / Progress Physician / Admissions Coordinator / trustee / Community Physician / attending physician and Administrator / Attorney for Health Care / /

ProvinceOrState

Pennsylvania / /

URL

www.stannesrc.org / /