Online Membership Application

Interested in becoming a member of PACAH? Complete the form below, and we'll be in touch to discuss our member benefits and pricing.

Online Membership Application

Facility or Business Name

Membership Category Full Voting Member - Long-term skilled nursing facilities located within the Commonwealth of PA that are approved or licensed by the Commonwealth of PA. Associate Member - Nursing facility management companies or other professional businesses interested in long term care facility operations. Educational - Personal care or assisted living entities licensed by the Commonwealth of PA. Personal Member - Individuals not associated with any nursing home but interested in PACAH and maintaining membership. Decision on membership in this category will be at the discretion of the Executive Director.

First Name

Last Name

Job Title

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State

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U.S. phone number

Fax Number

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