AFFEC- INQUIRY PAGE FOR NETWORK PARTNERS

Join our network

 

If you are interested in getting connected with consumers looking for care providers or professional services, Please fill out the information below.  

 

EMAIL to: Partners@afoundationforeldercare.com

 

 

 

NAME OF COMPANY OR FACILITY

 

Main Contact Name and Title

 

Phone #                                                                        Fax #

 

Email                                                                             Website

 

Complete Address

 

Type of Company (drop down menu) or is it easier to put a check box?

 

• Adult Day Care

• Affordable Housing Options for Seniors

• ARF - Private Funded Adult Residential Care Homes

• Assisted Living Community

• Board and Care

• Contractors-  ADA Contractors, Home Remodel Services

• Durable Medical Equipment

• End of Life Planning Services

• Financial Planner

• Holistic / Alternative/Complimentary Medicine

• Hospice or Home Health

• In-Home Care Agency

• Independent Living

• Memory Care Community

• Room and Board for 55 and over (No care needs)

• Room and Board for Senior’s (No Care)

• Senior Apartments

• Other Service or Professional – Give room to fill in message

 

Tell us about your Company:  

 

 

 

 

 

 

 

 

 

 

We will get back to you shortly.  Thank you.