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FACILITY INFORMATION To be completed by the licensee/designee 1. NAME OF FACILITY 2. TELEPHONE 530 259-3400 ZIP CODE Eskaton Village Placerville 3. AMBULATORY STATUS a. 1. This person is able to independently transfer to and from bed Yes 2. For purposes of a fire clearance this person is considered Ambulatory Nonambulatory Bedridden conditions. ADDRESS CITY 3380 Blairs Lane Placerville 4. LICENSEE S NAME 95667 916 334-0810 6. FACILITY LICENSE NUMBER 097005046 II. Visual Impairment c. Wears...
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What is eskaton village placerville?
Eskaton Village Placerville is a senior living community in Placerville, California.
Who is required to file eskaton village placerville?
Residents or their legal representatives are required to file Eskaton Village Placerville.
How to fill out eskaton village placerville?
You can fill out Eskaton Village Placerville by providing all required information accurately and submitting it by the deadline.
What is the purpose of eskaton village placerville?
The purpose of Eskaton Village Placerville is to gather information about the residents living in the senior living community.
What information must be reported on eskaton village placerville?
Information such as personal details, medical history, and emergency contacts must be reported on Eskaton Village Placerville.
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