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1 forms found in the DOM

Name: contact_form — POST enquiry1.php

<form id="contact_form" name="contact_form" class="" action="enquiry1.php" method="post">
  <div class="row">
    <div class="col-sm-6">
      <div class="form-group">
        <label>Name</label>
        <input name="Full_Name" class="form-control" type="text" placeholder="Enter Name" required="">
      </div>
    </div>
    <div class="col-sm-6">
      <div class="form-group">
        <label>Email</label>
        <input name="Email_Address" class="form-control required email" type="email" placeholder="Enter Email" required="">
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-sm-6">
      <div class="form-group">
        <label>Subject</label>
        <input name="Your_Subject" class="form-control required" type="text" placeholder="Enter Subject" required="">
      </div>
    </div>
    <div class="col-sm-6">
      <div class="form-group">
        <label>Phone</label>
        <input name="Telephone_Number" class="form-control" type="text" placeholder="Enter Phone" required="">
      </div>
    </div>
  </div>
  <div class="form-group">
    <label>Message</label>
    <textarea name="Your_Message" class="form-control required" rows="5" placeholder="Enter Message" required=""></textarea>
  </div>
  <div class="form-group">
    <button type="submit" class="btn btn-dark btn-theme-colored btn-flat" data-loading-text="Please wait...">Send your message</button>
  </div>
</form>

Text Content

Home for Senior Citizens (Reg : 4/264)

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Call Us

+91 99441 19887 / 73058 62285

Mail Us

DIVINEOLDAGEHOME99@GMAIL.COM

   
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ABOUT US

Divine Old Age Home is an old age home with the motto to provide high quality
care to the elders which intern leads to high quality of life for them. We take
pride to mention that we have completed 14 years in our service and in the
process we have gained lot of experience and expertized in giving care to the
old.

Our mission is to bring high standard and quality nursing services to homes,
Communities at affordable and accessible to all. We desire to transform the home
nursing services based on personal and trusted relationship and help the
community serve better.




OUR SERVICES


ASSISTED LIVING

Day in and day out Nursing and Medical Services gives custom-made care to
individuals


LEISURE CARE

Extracurriculum Activities are conducted to keep elderly engaged and avoid
boredom


DOCTOR & NURSE CARE

24/7 Nursing Care,Expertized consultant Physician and committed Physiotherapist


GALLERY




CONTACT US

ADDRESS

Chitresh Villa, No. 5/194, Jayalakshmi Nagar Moulivakkam, Porur, Chennai, Tamil
Nadu 600125

CALL US

+91 99441 19887/ 73058 62285

EMAIL

divineoldagehome99@gmail.com


CONTACT US

Name
Email
Subject
Phone
Message
Send your message


© 2024 Divine Old Age HomeAll Rights Reserved

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