Assisted Living Facility Membership Application

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Fill in the information below and submit for consideration to Nevada Health Care Association / Nevada Center for Assisted Living (NVHCA/NVCAL)

Assisted Living Facility Membership Application

  • Management Company/Owner Information

  • Management Company/Owner Information

  • Licensed Bed Fees

    Per Bed Basis, Invoiced Annually, Quarterly or Monthly
  • All 3 billing fees must be the same; Annually, Quarterly or Monthly
  • Annual Fees

  • Price: $30.00 Quantity:
  • Price: $10.50 Quantity:
    Will not be collected until July 2020
  • Price: $6.00 Quantity:
    Will not be collected until July 2020
  • $0.00
  • Quarterly Fees

  • Price: $7.50 Quantity:
  • Price: $2.63 Quantity:
  • Price: $0.88 Quantity:
  • $0.00
  • Monthly Fees

  • Price: $6.00 Quantity:
  • Price: $1.50 Quantity:
  • Price: $0.50 Quantity:
  • $0.00
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