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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1628 - LICENSED HEALTH CARE FACILITY <br />Permit ID # PT0019814 for Record ID # PR0528477 <br />Valid From 10/1/2021 To 9/30/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />PRESTIGE CARE INC <br />PRESTIGE SENIOR LIVING AT MTCA <br />Regulated Facility: <br />1130 EMPIRE AVE <br />MANTECA, CA 95336 <br />Facility ID <br />Account ID <br />Issued <br />FA0019191 <br />AR0034155 <br />9/14/2021 <br />PRESTIGE SENIOR LIVING AT MANTECA <br />TAYLOR MEADATTN : Billing Address: <br />PRESTIGE SENIOR LIVING AT MANTECA <br />1130 EMPIRE AVE <br />MANTECA, CA 95336 <br />End of reportcombined.rpt