Application for a License to Operate an Assisted Living Center

Name and Location of Facility
Must be exactly as name appears on legal documents.
Do you have a DBA (Doing Business As)?
Contact Information
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Physical Address
Mailing Address
Is your mailing address different from the address above?
Capacity and Classification of Facility
Care and Individualized Services
Care and individualized services provided based on the facilities ability to meet the needs of all residents, availability of written policies and procedures, and staff education. Each resident shall receive daily care by facility personnel according to ARSD 44:70:01:05 and 44:70:05:03.
Additional resident care includes those who: