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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 4524 - SKILLED NURSING FACILITY <br />Permit ID # PT0022157 for Record ID # PR0536162 <br />Valid From 4/1/2022 To 3/31/2023 <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 />COVENANT CARE LODI LLC <br />COVENANT CARE LODI LLC <br />Regulated Facility: <br />900 N CHURCH ST <br />LODI, CA 95240 <br />Facility ID <br />Account ID <br />Issued <br />FA0009105 <br />AR0016105 <br />12/21/2021 <br />COVENANT CARE LODI LLC <br />ATTN : Billing Address: <br />COVENANT CARE LODI LLC <br />900 N CHURCH ST <br />LODI, CA 95240 <br />End of reportcombined.rpt