FAHA MEMBER FAX RESPONSE
RE: Hurricane Evacuation Space Availability
TO: Gail Matillo
FAX: 850/671-3699
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Facility Name: |
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Contact Person: |
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Phone: |
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Cell Phone: |
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Location: |
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Available Space Type: |
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Approximate Number: (residents that can be accommodated): |
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Resident Type: (suitable for relocation to the area, assuming the transferring facility would provide staff, supplies and equipment)
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o Independent
o Assisted Living
o Skilled Nursing |
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Other Relevant Details:
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