Agenda - 12-13-2011 - 12E - Laserfiche WebLink

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7 Applicant Interest- Listing Nursing Home Community Advisory Committee Mr. Jack S. Chestnut 4303 Hope Valley Drive Hillsborough NC 27278 Skills: . C.H. SENIOR CNTR PROGR PART Skills: Caro] Woods Retirement Center Skills: HUD202 Housing for Elderly Boazd M Ms. T. L. Crews 4921 Guess Rd Rougmeont NC 27572 Skills: School Principal Skills: Tutor Dr. Beverly Foster 2454 Springview Trail Chapel Hill NC 27514 Skills: Nursing Management Education by Board Name and by Applicant Name Contact Person: Charlotte Terwilliger, MSW Contact Phone: 919-558-9401 - Day Phone: 919-732-1242 Sex: Male Evening Phone: 919-732-1242 Race: Caucasian FAX: Township: Hillsborough E-mail: jackchestnut@!aol.com Date Applied: 05/24/2010 Also Serves On: Also Serves On: Also Serves On: Day Phone: 919 732-6974 Sex: Female Evening Phone: 919 732-6974 Race: African American Fpx: Township: Litt]e River E-mail: crewsez@aol.com Date Applied: 08/21/2011 Also Serves On: Also Serves On: Day Phone: 919 966-4995 Sex: Female Evening Phone: 919 967-2930 Race: Caucasian FAX: 919 843-6212 Township: Chapel Hill E-mail: Bev_Foster@unc.edu Date Applied: 02/10/2011 Also Serves On: Ms Joyce Jefferies 4820 NC Hwy 54 West Chapel Hill NC 27516 Stalls: Administrative Assistant Ms. Sandra Lemons 1321 Brookhollow Road Efland NC 27243 Sills: .Administrative Assistant Day Phone: (91925-3597 Evening Phone: (919)720-6115 FAX: (91925-3529 E-mail: joyce_jefferies@dentistry.unc.edu Also Serves On: Day Phone: 9199718385 Evening Phone: 9199718385 FAX: E-mail: SandraL@umrh.org Also Serves On: Sex: Female Race: African American Township: Chapel Hill Date Applied: 11/03/2010 Sex: Female Race: Caucasian Township: Cheeks Date. Applied: 02/11/2011 Wednesday, November 16, 2011 Page 1 of 2