My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2020
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
K
>
KETTLEMAN
>
1610
>
1900 - Hazardous Materials Program
>
PR0527146
>
COMPLIANCE INFO_2020
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/20/2020 5:31:19 PM
Creation date
2/20/2020 4:49:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0527146
PE
1921
FACILITY_ID
FA0018090
FACILITY_NAME
LODI DIALYSIS CENTER
STREET_NUMBER
1610
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242-3731
APN
05826040
CURRENT_STATUS
01
SITE_LOCATION
1610 W KETTLEMAN LN STE D
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\dsedra
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
4
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Lodi Dialysis <br /> 1610 West Kettleman Lane,Suite D <br /> Lodi,CA 95242 <br /> Da i t o-., <br /> Phone:209-33-334-9888 <br /> Fax:209-333-0888 <br /> DaVita-corn <br /> DaVita Dialysis Facility Information <br /> Date of communication: February 17, 2020 <br /> Facility name / number: Lodi Dialysis/00277 <br /> Medicare provider number: 05-2753 <br /> Facility address: 1610 West Kettleman Lane, Suite D, Lodi, CA 95242 <br /> Facility phone: 209-334-9888 <br /> Facility fax: 209-333-0888 <br /> Facility Administrator name: Stormee King <br /> Email address: stormee.king@davita.com <br /> Facility emergency contact name: Stormee King <br /> Facility emergency contact number: 925-980-5772 <br /> Number of treatment stations: 21 <br /> Number of isolation stations: 1 <br /> Number of patients: <br /> In-center 104 <br /> Home hemodialysis 0 <br /> Peritoneal 0 <br /> Comments / special instructions: This patient population requires dialysis treatment three times <br /> per week. <br />
The URL can be used to link to this page
Your browser does not support the video tag.