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Inquiry Form

Name
Street
City
State
Zip Code
Phone (home)
Phone (work)
E-mail
Age
How did you hear about Phoebe Ministries?
Inquiring for self? Yes
If not, relationship to person inquiring for (parent, relative, friend):
I Would Like Information on the Following Community and/or Services:
David A. Miller Personal Care Community
Devitt House
Franklin and Noble Manor
John F. Lutz Apartments
Furnace Creek Manor
Phoebe Apartments
Berks Health Care Center
Berks Village
Berks Village Gardens and Commons
Allentown Health Care Center
Richland Health Care Center
Meadows at Phoebe Richland
The Terrace at Phoebe Allentown
The Senior Apartments at the Wyomissing Club
Weidner Manor
Wind Gap Manor
Wyncote Independent Living
Wyncote Personal Care
Phoebe at Home Services
Are you inquiring about Short Term Rehab or Long Term Care ?
Short Term Rehab
Long Term Care
Where do you currently live?
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1.800.453.8814  |  General Phone 610.435.9037  |  1925 W Turner St, Allentown, PA 18104

Equal Housing Logo Phoebe does not discriminate in admissions, the provision of services, or referrals of clients on the basis of race, color, religious creed, disability, marital status, ancestry, national origin, sexual orientation, age, or gender.