Pascal Bergeron
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In addition to the license application requirements in A.R.S. § 36-422 and R9-10-105, an applicant for a
license as an assisted living facility shall include in a Department-provided format:
1. Which of the following levels of assisted living services the applicant is requesting
authorization to provide:
a. Supervisory care services,
b. Personal care services, or
c. Directed care services; and
2. Whether the applicant is requesting authorization to provide:
a. Adult day health care services, or
b. Behavioral health services other than behavioral care.

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