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Pennsylvania Adult Day Services Association

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uuid0038383

Namestring
Pennsylvania Adult Day Services Association
Legal namestring
Pennsylvania Adult Day Services Association
Websiteurl
padsa.org
Company typeenum
Private
Founded yearint
1982
Descriptiontext

Pennsylvania Adult Day Services Association (PADSA) is a non-profit membership association founded in 1982 that represents more than 100 adult day services centers and individuals across Pennsylvania. It functions as the unified industry voice for licensed adult daily living centers, conducting advocacy with state and federal policymakers, Managed Care Organizations (UPMC Health Plan, Keystone First/AmeriHealth Caritas), and the Pennsylvania Department of Human Services on issues including Medicaid waiver rates, the Community HealthChoices (CHC) program, licensing, and fraud/compliance. The association supports members through standardized training products (mandatory training DVDs covering Alzheimer's, stroke, developmental delay, and behavior management, a Policy & Procedure Manual revised November 2009), an annual conference, regional meetings, webinars, and statewide marketing initiatives such as PA CareKit.

PADSA's revenue model is a hybrid of recurring membership dues, one-time conference registration fees (members $225 / non-members $350 for the 2025 conference), product sales of training materials and manuals ($35–$125 for members), and conference sponsorships from vendor partners. Its distribution operates through direct membership via Wild Apricot, a website portal with provider finder, the annual conference, and a regional representative structure (Southeast, Northeast, Central, Northwest, Southwest). No proprietary technology, AI/ML capabilities, or data products are evident; the association operates on off-the-shelf SaaS (Wild Apricot, Constant Contact) and conventional non-profit association infrastructure. The organization is headquartered in Bethlehem, PA (mailing address only), and is governed by a volunteer board composed primarily of adult day services operators serving as regional representatives.

Short descriptiontext

Pennsylvania Adult Day Services Association (PADSA) is a 1982-founded non-profit membership association representing more than 100 adult day services providers across Pennsylvania, offering advocacy, training products, annual conferences, and regulatory engagement with MCOs and state agencies.

Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
101–250
akta.pro rankint
HeadquartersBethlehem, United States
HQ citystring
Bethlehem
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Offices1 record

Each record includes

City, Country, Type, Description, Source

Keyword5 values
adult day services, healthcare advocacy, industry association, training products, nonprofit membership
NAICS code1 code
  • Voluntary Health Organizations813212
SIC code1 code
  • Services-Membership Organizations8600
Product category
Industry Association / Healthcare Advocacy
Social media profiles1 record
Revenue model4 records
1Membership Dues
TypeSubscription Recurring
Description

Annual membership dues from adult day services providers and individuals. The association represents more than 100 centers and individuals.

padsa.org
2Conference Registration
TypeOne Time License
Description

Revenue from annual conferences including the 2025 conference at $225 for members and $350 for non-members.

padsa.org
3Training Products and Materials
TypeOne Time License
Description

Sales of training DVDs, policy and procedure manuals, and mandatory training materials for adult day services programs. DVD: Mandatory Training $35 member/$75 non-member; Policy & Procedure Manual $125 member/$250 non-member.

padsa.org
4Sponsorships
TypeProfessional Services
Description

Conference sponsorship revenue from vendors and business partners.

padsa.org
Marketing channels7 records

Each record includes

Title, Type, Stage, Description, Source

Distribution channels4 records

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components5 values
Personnel, Operations, Marketing or Sales, Technology or R&D, Others
Pricing details5 tiers
1PADSA Annual Conference 2025
ModelOne time/ perpetual licenseBilling cadencePay-as-you-go
Notes

PADSA Members: $225; Non-members: $350. Includes full day conference with state leaders, policy makers, workshops, and networking.

padsa.org
2Mandatory Training DVD
ModelOne time/ perpetual licenseBilling cadencePay-as-you-go
Notes

PADSA Member: $35.00; Non-Member: $75.00

padsa.org
3Adult Day Services: Leading the Way DVD
ModelOne time/ perpetual licenseBilling cadencePay-as-you-go
Notes

PADSA Member: $45.00; Non-Member: $65.00. Additional DVD Copy: $15.00

padsa.org
4Policy & Procedure Manual
ModelOne time/ perpetual licenseBilling cadencePay-as-you-go
Notes

PADSA Member: $125.00; Non-Member: $250.00

padsa.org
5Hotel Accommodations
ModelOtherBilling cadencePay-as-you-go
Notes

$139/night + tax at DoubleTree Suites by Hilton, Plymouth Meeting for conference attendees

padsa.org
GTM typeB2B
B2B
Offering typeServices
Services
Core offering1 text field

PADSA is a nonprofit membership association that advocates on behalf of Pennsylvania adult day services providers before state and federal policymakers, Managed Care Organizations, and regulators. It delivers standardized training products (DVDs, policy manual), hosts an annual conference and regional meetings, and maintains a provider finder directory for consumer referrals. Revenue is generated through membership dues, conference and event fees, training product sales, and sponsorships.

Differentiator
Functional benefit
Problem solved
Product overview1 text field

PADSA offers a portfolio of training and operational resource products for adult day services providers. The core offerings include DVD-based mandatory training programs covering Alzheimer's disease, dementia, stroke, developmental delay, behavior management, and safety procedures, priced at $35 for members/$75 for non-members. Additional products include the 'Adult Day Services: Leading the Way' training DVD and a Policy & Procedure Manual ($125 member/$250 non-member). The association also provides membership services including advocacy, networking, educational scholarships, and access to conferences and webinars.

Product and service9 records
1PADSA Membership
CategoryMembership
Description

Annual membership for adult day services providers and individuals in Pennsylvania, entitling members to advocacy representation, discounted conference and product pricing, regional meetings, marketing webinars, legislative updates, and access to member resources.

2PADSA Annual Conference
CategoryConference / Event
Description

Annual in-person conference providing adult day services providers with education, workshops, and networking opportunities with state leaders, policy makers, and vendors. Member registration $225; non-member $350.

3DVD: Mandatory Training for Adult Day Services Programs
CategoryTraining Product
Description

Mandatory staff training DVD package covering four OADLC-licensed topics for adult day services employees, including dementia, stroke, developmental delay, behavior management, abuse/neglect, and transfer techniques. Includes post-tests and answer keys. PADSA Member $35; Non-Member $75.

4DVD: Adult Day Services: Leading the Way
CategoryTraining Product
Description

Training DVD for adult day services staff covering operational and care standards. PADSA Member $45; Non-Member $65; additional DVD copies $15.

5Policy & Procedure Manual
CategoryOperational Resource
Description

Comprehensive policy and procedure manual for adult day service centers, covering operational standards and regulatory compliance. PADSA Member $125; Non-Member $250.

6PADSA Membership Mailing Labels
CategoryMember Resource
Description

Mailing labels for PADSA members, available for purchase to support outreach and marketing.

7Marketing Webinars (Member-Exclusive)
CategoryProfessional Development
Description

Member-exclusive webinars covering marketing and professional development topics for adult day services providers.

8Online Provider Finder Directory
CategoryProvider Directory
Description

Web-based directory on padsa.org allowing consumers to search for adult day services providers by location, services, languages, and other criteria; functions as a referral channel to member centers.

9PA CareKit Marketing Campaign Materials
CategoryMarketing Campaign
Description

Statewide marketing campaign materials PADSA provides to member centers to promote adult day services in their local markets across Pennsylvania.

Scale indicator3 records

Each record includes

Type, Value, Description, Source

Partnership4 partners
Strategic tierCoreTypeStrategic or Co-development PartnerAnnounced on2025-01-30
Description

Quarterly meetings between UPMC and PADSA to discuss rates and cost alignment for adult day services. PADSA advocates for rate increases and cost alignment with Managed Care Organizations.

Strategic tierCoreTypeStrategic or Co-development Partner
Description

Ongoing rate increase advocacy discussions with these Managed Care Organizations operating under the Community HealthChoices (CHC) program.

Strategic tierCoreTypeOthers
Description

PADSA leads meetings on Medicaid waiver fraud and compliance issues. DHS Office of Long-Term Living oversees adult day services licensing and regulations.

4PA CareKit Initiative
Strategic tierCoreTypeOthers
Description

Statewide marketing campaign launched to promote adult day services. PADSA provides marketing materials for member centers to leverage in their local markets.

padsa.org
Recent move6 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight5 records

Each record includes

Type, Description

Peers10 records
TypeEmerging player
Description

NCOA is a national nonprofit focused on aging well and advocates for community-based services including adult day. Comparable in advocacy for older adults and family caregivers, though NCOA's mission is broader than PADSA's provider-focused trade association role.

TypeBroad incumbent
Description

LeadingAge is the national association representing nonprofit aging services providers across the continuum (adult day, housing, home care, nursing). Overlaps with PADSA in advocacy and education for providers serving older adults, but at much broader scope and scale.

TypeOthers
Description

WellSky provides software for HCBS, home health, and adult day services providers, including payer and regulatory workflows. Comparable to PADSA as an enabling ecosystem player supporting the same provider base PADSA represents, but on the technology rather than association side.

TypeBroad incumbent
Description

AHCA/NCAL is the largest national association for assisted living and skilled nursing providers, offering overlapping advocacy, education, and member resources. PADSA engages with similar MCO/payer dynamics at state level, making AHCA/NCAL a broad incumbent peer.

TypeOthers
Description

National family caregiver organization providing education, peer support, and resources. Comparable to PADSA in serving the family/caregiver side of the adult day equation and producing educational content; however, it does not represent provider members.

6Aging Services of Pennsylvania
TypeRegional player
Description

State-level aging services association in Pennsylvania covering a broader provider base than PADSA. Comparable in geography and advocacy function but covers the wider aging services industry rather than specializing in adult day services.

7Community Living Policy Center / ADvancing States
TypeRegional player
Description

ADvancing States (formerly NASUAD) is a national association representing state aging and disability agencies that administer HCBS waivers. Comparable to PADSA in advocating for Medicaid HCBS funding streams on which adult day providers depend.

TypeRegional player
Description

Pennsylvania-based trade association representing skilled nursing, assisted living, and personal care providers. Comparable in state-level advocacy, MCO engagement, and member-services model, though PADSA is more niche (adult day) and PHCA is more institutional (long-term care facilities).

TypeDirect peer
Description

NADSA is the national trade association for adult day services providers, directly comparable to PADSA in mission (advocacy, education, member services) and member base. PADSA effectively operates as the Pennsylvania state affiliate within this national network.

TypeOthers
Description

PHI focuses on the direct-care workforce across home and community-based services, including adult day. Comparable in workforce training content (similar in spirit to PADSA's Mandatory Training DVD) and policy advocacy for HCBS providers.

Market position
Strengths2 records

Each record includes

Headline, Details, Source

Weaknesses4 records

Each record includes

Headline, Details, Source

Competitive moat4 records

Each record includes

Type, Details

Key risks5 records

Each record includes

Headline, Details, Source

Key highlights6 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Named customers8 records

Each record includes

Name, Industry, Type, Use case, Source, UUID

Segment2 records

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile2 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
No
API detail
Has APIbool
No

Docs URL, Description

AI maturity
App detail

Has app

Core technology
Revenue estimate
Valuation estimate
Number of profiles
Profiles8 records

Each record includes

Name, Designation, Designation category, Overview, Profile commentary, Source

No data
No data
Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors

Each record includes

Name, Type, Date of entry, Rounds participated, Website

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Pennsylvania Adult Day Services Association

Industry Association / Healthcare Advocacypadsa.org

Pennsylvania Adult Day Services Association (PADSA) is a 1982-founded non-profit membership association representing more than 100 adult day services providers across Pennsylvania, offering advocacy, training products, annual conferences, and regulatory engagement with MCOs and state agencies.

What Pennsylvania Adult Day Services Association does

Pennsylvania Adult Day Services Association (PADSA) is a non-profit membership association founded in 1982 that represents more than 100 adult day services centers and individuals across Pennsylvania. It functions as the unified industry voice for licensed adult daily living centers, conducting advocacy with state and federal policymakers, Managed Care Organizations (UPMC Health Plan, Keystone First/AmeriHealth Caritas), and the Pennsylvania Department of Human Services on issues including Medicaid waiver rates, the Community HealthChoices (CHC) program, licensing, and fraud/compliance. The association supports members through standardized training products (mandatory training DVDs covering Alzheimer's, stroke, developmental delay, and behavior management, a Policy & Procedure Manual revised November 2009), an annual conference, regional meetings, webinars, and statewide marketing initiatives such as PA CareKit.

PADSA's revenue model is a hybrid of recurring membership dues, one-time conference registration fees (members $225 / non-members $350 for the 2025 conference), product sales of training materials and manuals ($35–$125 for members), and conference sponsorships from vendor partners. Its distribution operates through direct membership via Wild Apricot, a website portal with provider finder, the annual conference, and a regional representative structure (Southeast, Northeast, Central, Northwest, Southwest). No proprietary technology, AI/ML capabilities, or data products are evident; the association operates on off-the-shelf SaaS (Wild Apricot, Constant Contact) and conventional non-profit association infrastructure. The organization is headquartered in Bethlehem, PA (mailing address only), and is governed by a volunteer board composed primarily of adult day services operators serving as regional representatives.

Pennsylvania Adult Day Services Association firmographics

Firmographics
Name
Pennsylvania Adult Day Services Association
Legal name
Pennsylvania Adult Day Services Association
Website
https://padsa.org
Company type
Private
Founded year
1982
Operating status
Operating
Headcount range
101–250 employees
Short description
Pennsylvania Adult Day Services Association (PADSA) is a 1982-founded non-profit membership association representing more than 100 adult day services providers across Pennsylvania, offering advocacy, training products, annual conferences, and regulatory engagement with MCOs and state agencies.
Ownership category
akta.pro rank

Where Pennsylvania Adult Day Services Association is headquartered

Location

Headquarters

HQ city
Bethlehem
HQ country
United States
HQ region
North America

Offices1 record

Markets served

Pennsylvania Adult Day Services Association business model

Business model
GTM type
B2B
Offering type
Services
Cost components
Personnel, Operations, Marketing or Sales, Technology or R&D, Others

Revenue model

  1. Membership Dues: Annual membership dues from adult day services providers and individuals. The association represents more than 100 centers and individuals.
  2. Conference Registration: Revenue from annual conferences including the 2025 conference at $225 for members and $350 for non-members.
  3. Training Products and Materials: Sales of training DVDs, policy and procedure manuals, and mandatory training materials for adult day services programs. DVD: Mandatory Training $35 member/$75 non-member; Policy & Procedure Manual $125 member/$250 non-member.
  4. Sponsorships: Conference sponsorship revenue from vendors and business partners.

Pricing tiers

ModelBillingPrice
One time/ perpetual licensePay-as-you-goPADSA Annual Conference 2025
One time/ perpetual licensePay-as-you-goMandatory Training DVD
One time/ perpetual licensePay-as-you-goAdult Day Services: Leading the Way DVD
One time/ perpetual licensePay-as-you-goPolicy & Procedure Manual
OtherPay-as-you-goHotel Accommodations

Distribution channels4 records

Marketing channels7 records

Pennsylvania Adult Day Services Association product offering

Product offering

Core offering

PADSA is a nonprofit membership association that advocates on behalf of Pennsylvania adult day services providers before state and federal policymakers, Managed Care Organizations, and regulators. It delivers standardized training products (DVDs, policy manual), hosts an annual conference and regional meetings, and maintains a provider finder directory for consumer referrals. Revenue is generated through membership dues, conference and event fees, training product sales, and sponsorships.

Product overview

PADSA offers a portfolio of training and operational resource products for adult day services providers. The core offerings include DVD-based mandatory training programs covering Alzheimer's disease, dementia, stroke, developmental delay, behavior management, and safety procedures, priced at $35 for members/$75 for non-members. Additional products include the 'Adult Day Services: Leading the Way' training DVD and a Policy & Procedure Manual ($125 member/$250 non-member). The association also provides membership services including advocacy, networking, educational scholarships, and access to conferences and webinars.

Differentiator

Problem solved

Functional benefit

Products and services

  • PADSA Membership Annual membership for adult day services providers and individuals in Pennsylvania, entitling members to advocacy representation, discounted conference and product pricing, regional meetings, marketing webinars, legislative updates, and access to member resources.
  • PADSA Annual Conference Annual in-person conference providing adult day services providers with education, workshops, and networking opportunities with state leaders, policy makers, and vendors. Member registration $225; non-member $350.
  • DVD: Mandatory Training for Adult Day Services Programs Mandatory staff training DVD package covering four OADLC-licensed topics for adult day services employees, including dementia, stroke, developmental delay, behavior management, abuse/neglect, and transfer techniques. Includes post-tests and answer keys. PADSA Member $35; Non-Member $75.
  • DVD: Adult Day Services: Leading the Way Training DVD for adult day services staff covering operational and care standards. PADSA Member $45; Non-Member $65; additional DVD copies $15.
  • Policy & Procedure Manual Comprehensive policy and procedure manual for adult day service centers, covering operational standards and regulatory compliance. PADSA Member $125; Non-Member $250.
  • PADSA Membership Mailing Labels Mailing labels for PADSA members, available for purchase to support outreach and marketing.
  • Marketing Webinars (Member-Exclusive) Member-exclusive webinars covering marketing and professional development topics for adult day services providers.
  • Online Provider Finder Directory Web-based directory on padsa.org allowing consumers to search for adult day services providers by location, services, languages, and other criteria; functions as a referral channel to member centers.
  • PA CareKit Marketing Campaign Materials Statewide marketing campaign materials PADSA provides to member centers to promote adult day services in their local markets across Pennsylvania.

Companies that use Pennsylvania Adult Day Services Association

Customer profile

Named customers8 records

Segments2 records

Ideal customer profiles2 records

Pennsylvania Adult Day Services Association technology and API

Technology

Technology focussed No

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

Pennsylvania Adult Day Services Association partnerships and signals

Strategic signal

Partnerships

Four partnerships are on record, tiered core.

  • UPMC Health PlancoreStrategic or Co-development Partner · 30 January 2025Quarterly meetings between UPMC and PADSA to discuss rates and cost alignment for adult day services. PADSA advocates for rate increases and cost alignment with Managed Care Organizations.
  • Keystone First / AmeriHealth CaritascoreStrategic or Co-development PartnerOngoing rate increase advocacy discussions with these Managed Care Organizations operating under the Community HealthChoices (CHC) program.
  • Pennsylvania Department of Human Services (DHS)coreOthersPADSA leads meetings on Medicaid waiver fraud and compliance issues. DHS Office of Long-Term Living oversees adult day services licensing and regulations.
  • PA CareKit InitiativecoreOthersStatewide marketing campaign launched to promote adult day services. PADSA provides marketing materials for member centers to leverage in their local markets.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Pennsylvania Adult Day Services Association competitors and assessment

Company assessment

Emerging players

  • National Council on Aging (NCOA): NCOA is a national nonprofit focused on aging well and advocates for community-based services including adult day. Comparable in advocacy for older adults and family caregivers, though NCOA's mission is broader than PADSA's provider-focused trade association role.

Broad incumbents

  • LeadingAge: LeadingAge is the national association representing nonprofit aging services providers across the continuum (adult day, housing, home care, nursing). Overlaps with PADSA in advocacy and education for providers serving older adults, but at much broader scope and scale.
  • American Health Care Association / National Center for Assisted Living (AHCA/NCAL): AHCA/NCAL is the largest national association for assisted living and skilled nursing providers, offering overlapping advocacy, education, and member resources. PADSA engages with similar MCO/payer dynamics at state level, making AHCA/NCAL a broad incumbent peer.

Others

  • WellSky: WellSky provides software for HCBS, home health, and adult day services providers, including payer and regulatory workflows. Comparable to PADSA as an enabling ecosystem player supporting the same provider base PADSA represents, but on the technology rather than association side.
  • Caregiver Action Network: National family caregiver organization providing education, peer support, and resources. Comparable to PADSA in serving the family/caregiver side of the adult day equation and producing educational content; however, it does not represent provider members.
  • PHI (Paraprofessional Healthcare Institute): PHI focuses on the direct-care workforce across home and community-based services, including adult day. Comparable in workforce training content (similar in spirit to PADSA's Mandatory Training DVD) and policy advocacy for HCBS providers.

Regional players

  • Aging Services of Pennsylvania: State-level aging services association in Pennsylvania covering a broader provider base than PADSA. Comparable in geography and advocacy function but covers the wider aging services industry rather than specializing in adult day services.
  • Community Living Policy Center / ADvancing States: ADvancing States (formerly NASUAD) is a national association representing state aging and disability agencies that administer HCBS waivers. Comparable to PADSA in advocating for Medicaid HCBS funding streams on which adult day providers depend.
  • Pennsylvania Health Care Association (PHCA): Pennsylvania-based trade association representing skilled nursing, assisted living, and personal care providers. Comparable in state-level advocacy, MCO engagement, and member-services model, though PADSA is more niche (adult day) and PHCA is more institutional (long-term care facilities).

Direct peers

  • National Adult Day Services Association (NADSA): NADSA is the national trade association for adult day services providers, directly comparable to PADSA in mission (advocacy, education, member services) and member base. PADSA effectively operates as the Pennsylvania state affiliate within this national network.

Market position

Strengths2 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

Pennsylvania Adult Day Services Association social profiles

Digital presence

Pennsylvania Adult Day Services Association financial estimates

Financial estimate

Revenue estimate

Valuation estimate

Pennsylvania Adult Day Services Association leadership team

Management profile

Number of profiles

Profiles8 records

Pennsylvania Adult Day Services Association funding detail

Funding detail

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

Pennsylvania Adult Day Services Association M&A and investment

M&A and investment

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Pennsylvania Adult Day Services Association

What does Pennsylvania Adult Day Services Association do?

PADSA is a nonprofit membership association that advocates on behalf of Pennsylvania adult day services providers before state and federal policymakers, Managed Care Organizations, and regulators. It delivers standardized training products (DVDs, policy manual), hosts an annual conference and regional meetings, and maintains a provider finder directory for consumer referrals. Revenue is generated through membership dues, conference and event fees, training product sales, and sponsorships.

Is Pennsylvania Adult Day Services Association a public or private company?

Pennsylvania Adult Day Services Association is a private company. It is classified as nonprofit foundation owned and is currently operating.

When was Pennsylvania Adult Day Services Association founded?

Pennsylvania Adult Day Services Association was founded in 1982. It employs 101 to 250 people.

Where is Pennsylvania Adult Day Services Association based?

Pennsylvania Adult Day Services Association is headquartered in Bethlehem, United States, in the North America region.

How does Pennsylvania Adult Day Services Association make money?

Four revenue lines are on record. Membership Dues are the primary driver. The others are conference Registration, training Products and Materials and sponsorships.

Who are Pennsylvania Adult Day Services Association's main competitors?

National Council on Aging (NCOA) is listed as an emerging player. Broad incumbents are LeadingAge and American Health Care Association / National Center for Assisted Living (AHCA/NCAL). Others are WellSky, Caregiver Action Network and PHI (Paraprofessional Healthcare Institute). Regional players are Aging Services of Pennsylvania, Community Living Policy Center / ADvancing States and Pennsylvania Health Care Association (PHCA). National Adult Day Services Association (NADSA) is listed as a direct peer.

Does Pennsylvania Adult Day Services Association have an API?

No public API is recorded for Pennsylvania Adult Day Services Association.

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