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home health care services for the elderly, namely, skilled nursing services, physical, occupational and speech therapies; managed health care services for the elderly, namely, home health care, skilled nursing care, long term health care, medical clinics featuring emergency care, medical specialist care, namely, anesthesiology, audiology, cardiology, chiropractic, dentistry, dermatology, gastroenterology, geriatrics, gynecology, internal medicine, nephrology, neurosurgery, oncology, ophthalmology, oral surgery, orthopedic surgery, otorhinolaryngology, plastic surgery, pharmacy consulting, podiatry, psychiatry, pulmonology, radiology, rheumatology, general surgery, thoracic surgery, vascular surgery, urology surgery, behavioral health care services in the field of Alzheimer's and dementia, end of life care management services, and rehabilitation services, namely, speech, occupational and physical therapies; nursing homes