Juniper Contact


	Juniper Communities 400 Broadacres Drive, 4th Floor Bloomfield, NJ 07003 Phone: (973) 661-8300 Fax: (973) 661-8333 Email: info-juniper@junipercommunities.com Directions to Home Office Contact Form Please provide your contact information: Fields marked with an are required.* * Name: * Phone number: * E-mail: Address Line 1: Address Line 2: City : State: Zip: Comments or Requests How may we be of service? (Check all that apply) Send Information Schedule a Visit Want to be Contacted Other: Please provide details to your request or comment: Which of our communities interest you? Location 1: Location 2: How would you like to receive a response from Juniper? Telephone (Please provide your number above) Best time to call: Time Zone: E-mail (Please provide your e-mail above) Postal Mail (Please provide your address above) No Response Necessary Additional Information Needed to Better Help You Who is the potential resident? When do you think you will be ready to move to a senior residence? Current Living Arrangements: Live in own home independently (not using home care service) Live in own home and receiving home health care services Live in a community for independent seniors Live in assisted living community Live in a Nursing & Rehabilitation Care facility Lives in home of family members Please enter the security code in the image below: