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<br /> SAN JOAQUI*OUNTY ENVIRONMENTAL HEALTFr)EPARTMENT
<br /> 1868 E.Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ENVIRONMENTAL HEALTH
<br /> PERMIT TO OPERATE 4524'-SKILLED NURSING FACILITY
<br /> Permit ID# PT0022165 for Record ID# PRO536170
<br /> Val :From 1/1/2013 To 12/31/2013
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause.
<br /> PERMIT(s)Valid only for: SNF WINDSOR
<br /> DBA WINDSOR HAMPTON CARE CENTER , { �x -FAA
<br /> Kai"Ev "X
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: HAMPTON CARE CENTER Yr Facility io FA0010957
<br /> a Account lD AR0017957
<br /> 442 E HAMPTON ST a � 11/26/2012
<br /> STOCKTON CA 95204
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<br /> Billing Address: HAMPTON CARE CENTER - 7
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<br /> 442 E HAMPTON ST u f
<br /> STOCKTON CA 95204 W
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