www.mtnpalmsmanorafh.com
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208.109.16.231
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URL:
https://www.mtnpalmsmanorafh.com/
Submission: On March 18 via api from US — Scanned from US
Submission: On March 18 via api from US — Scanned from US
Form analysis 4 forms found in the DOM
Name: frmAppointment — POST https://www.mtnpalmsmanorafh.com/process/ajax-appointment.php
<form id="frmAppointment" name="frmAppointment" action="https://www.mtnpalmsmanorafh.com/process/ajax-appointment.php" method="post">
<input type="text" name="name" id="name" placeholder="Your name" required="">
<input type="text" name="phone" id="phone" placeholder="Your phone number" required="">
<input type="email" name="email" id="email" placeholder="Your email address" required="">
<input class="date hasDatepicker" name="appointmentDate" id="appointmentDate" type="text" placeholder="Appointment Date" required="">
<select id="purpose" name="purpose" class="frm-field required sect">
<option value="">Select Purpose</option>
<option value="Facility Visit">Facility Visit</option>
<option value="Other">Other</option>
</select>
<input type="submit" value="Book Now">
</form>Name: frmGetInTouch — POST https://www.mtnpalmsmanorafh.com/process/ajax-get-in-touch.php
<form id="frmGetInTouch" name="frmGetInTouch" action="https://www.mtnpalmsmanorafh.com/process/ajax-get-in-touch.php" method="post">
<input type="text" name="fullname" id="fullname" placeholder="Your Name" required="">
<input type="text" name="cphone" id="cphone" placeholder="Your Phone" required="">
<input type="email" name="cemail" id="cemail" placeholder="Your Email" required="">
<textarea name="cmessage" id="cmessage" placeholder="Your Message...." required=""></textarea>
<table width="400" border="0" align="center" cellpadding="5" cellspacing="1" class="table">
<!--<tr>
<td id="captchamsg" align="center" valign="top"><p><strong>Validation Code</strong></p></td>
</tr>-->
<tbody>
<tr>
<!--<td align="right" valign="top"> Validation code:</td>-->
<td><img src="https://www.mtnpalmsmanorafh.com/phptextcaptcha/captcha.php?rand=267551094" id="captchaimg"><br>
<label for="message">Enter the code above here: <span id="captchamsg" style="color:#FF0000"></span></label>
<br>
<input id="captcha_code" name="captcha_code" class="txtCode" type="text">
<br> Can't read the code? <a href="javascript: refreshCaptcha();"><strong>Click here</strong></a> to create new.
</td>
</tr>
</tbody>
</table>
<input type="submit" value="Send">
</form>Name: frmEmailSubscription — POST https://www.mtnpalmsmanorafh.com/process/ajax-email-subscription.php
<form id="frmEmailSubscription" name="frmEmailSubscription" action="https://www.mtnpalmsmanorafh.com/process/ajax-email-subscription.php" method="post">
<!--<input type="text" name="Name" value="Name" onFocus="this.value = '';" onBlur="if (this.value == '') {this.value = 'Name';}" required="">-->
<!--newEmailSubscription($emailAddress)-->
<input type="email" name="email" id="email" placeholder="Email" required="">
<input type="submit" value="Submit">
</form>POST #
<form action="#" method="post">
<div class="sign-up">
<h4>Email :</h4>
<input type="text" name="Type here" value="Type here" onfocus="this.value = '';" onblur="if (this.value == '') {this.value = 'Type here';}" required="">
</div>
<div class="sign-up">
<h4>Password :</h4>
<input type="password" name="Password" value="Password" onfocus="this.value = '';" onblur="if (this.value == '') {this.value = 'Password';}" required="">
</div>
<div class="sign-up">
<h4>Re-type Password :</h4>
<input type="password" name="Password" value="Password" onfocus="this.value = '';" onblur="if (this.value == '') {this.value = 'Password';}" required="">
</div>
<div class="sign-up">
<input type="submit" value="REGISTER NOW">
</div>
</form>Text Content
* +1 (803) 661 0208 * info@mtnpalmsmanorafh.com * 5120 84th Ave West, University Place, WA 98467 * Toggle navigation * Home * About * Services * Gallery * Testimonials * Contact * ENJOY STRESS-FREE SENIOR LIVING! Take a virtual tour * COORDINATION OF HOSPICE CARE About Us * APPROPRIATE HEALTH CARE FOR SENIORS . Book an appointment * UNBIASED RESOURCE FOR SENIOR CARE Our Team OUR BEST SERVICES TOP * Companion Care * Errand Service * Light Housekeeping * Meal Preparation * Personal Care * Respite Care * Essential Transportation BOOK AN APPOINTMENT Select Purpose Facility Visit Other MOUNTAIN PALMS MANOR AFH learn more about COMPANION CARE A non-medical, in-home care service offering companionship to aging adults, senior citizens, and individuals with disabilities. LIGHT HOUSEKEEPING Includes tasks such as dusting open surfaces; sweeping and mopping floors (damp mops – small areas and hard surface floors); vacuuming... PERSONAL CARE Engaging in a self-care routine has been clinically proven to reduce or eliminate anxiety and depression, reduce stress, improve concentration... OUR TEAM MEMBERS He has more than two decades of experience serving in Human Capital for... know more CHRIS KIBUKU Human Capital / CG-(CNA) He worked with diverse patient populations including adults and Geriatrics... know more DAVID KINYUA Provider- Manager (LVN) Jackie entered Health care in 2005 as a CNA while pursuing a nursing career... know more JACQUELINE NATETIAN On Site Nurse-(RN) A former school teacher. Mary is self-propelled and derives joy in serving... know more MARY NGANGA Lead CG - (CNA) OUR PHOTOS MOUNTAIN PALMS MANOR AFH A fountain of wellness MOUNTAIN PALMS MANOR AFH A fountain of wellness MOUNTAIN PALMS MANOR AFH A fountain of wellness MOUNTAIN PALMS MANOR AFH A fountain of wellness MOUNTAIN PALMS MANOR AFH A fountain of wellness MOUNTAIN PALMS MANOR AFH A fountain of wellness MOUNTAIN PALMS MANOR AFH A fountain of wellness MOUNTAIN PALMS MANOR AFH A fountain of wellness MOUNTAIN PALMS MANOR AFH A fountain of wellness MOUNTAIN PALMS MANOR AFH A fountain of wellness MOUNTAIN PALMS MANOR AFH A fountain of wellness MOUNTAIN PALMS MANOR AFH A fountain of wellness MOUNTAIN PALMS MANOR AFH A fountain of wellness MOUNTAIN PALMS MANOR AFH A fountain of wellness CONTACT US GET IN TOUCH Enter the code above here: Can't read the code? Click here to create new. Here at Mountain Palms Manor AFH are committed to bringing joy and wellness to our residents by providing holistic care through a sustainable partnership with families and stakeholders. Fill out the contact form to send your message to us. We always open to your questions. * 5120 84th Ave West, University Place, WA 98467 * info@mtnpalmsmanorafh.com, mtnpalmsmanorafh@gmail.com * +1 (803) 661 0208 * 951 333 9701 * FAX: +1 253 240 1976 CONTACT US * +1 (803) 661 0208 * info@mtnpalmsmanorafh.com * * NEWSLETTER SIGN UP We are an adult family home located in a benign setting in the University Place, a suburb of Tacoma. We are committed to helping our residents to live life to the fullest in secure and familiar surroundings, with the people who matter most. © 2022 Mountain Palms Manor AFH LLC. All rights reserved. × × SIGN UP FOR FREE EMAIL : PASSWORD : RE-TYPE PASSWORD : By logging in you agree to our Terms and Conditions and Privacy Policy