Pacific Coast Homecare, LLC www.pacificcoasthomecare.com Address 2775 Tapo St Ste 201 Simi Valley CA 93063 Services Offered Respite Care Home Care Aide Companion Care Household Management Who are you seeking care for?Select one of the followingMyselfSpouseParentGrandparentCoupleFriendDischarge clientOtherAgeApprox. Age< 50 years50-55 years old56-60 years old61-65 years old66-70 years old71-75 years old76-80 years old81-85 years old86-90 years old> 91 years oldGenderSelect one of the followingMaleFemalePrefer Not to AnswerHow soon will the care begin?Select one of the followingThis weekThis monthNext monthWithin 6 monthsFrequencySelect one of the followingLess than 10 hours/week10-20 hours/week20-40 hours/week Who can be contacted about care information? Name Email Phone
