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8203 Telegraph Road
Pico Rivera, CA 90660

Phone (562) 806-2576
Fax (562) 806-1496


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You may also contact us by filling out the form below.

Name of Inquirer
Home Phone
Work Phone
Name of Prospective Resident
Current Location (hospital/facility)
If this person is in the hospital
Date of Admission
Estimated Date of Transfer
MediCare Coverage Yes     No
MediCal Coverage Yes     No
Other Coverage, please specify


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