There are several liscences needed in the business world to operate. Beauticians need to pass a state exam and be given a liscense, for example.
In that case, however, the individual providing the services is responsible for the liscense, not the facility.
A quick look at the ascap website shows various brouchures detailing the variety of liscenses they provide:
http://www.ascap.com/licensing/brochures.html Here's one that applies to health facilities:
http://www.ascap.com/licensing/pdfs/brochures/music_is_good_health.pdf Does anyone know if these companies that hire musicians for their residents have these liscenses?
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Bill in Dayton