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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 # PT0019096 for Record ID # PR0527297 <br />Valid From 1/1/2022 To 12/31/2022 <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 />ALHL LLC <br />LODI NURSING <br />Regulated Facility: <br />1334 S HAM LN <br />LODI, CA 95242 <br />Facility ID <br />Account ID <br />Issued <br />FA0018490 <br />AR0032688 <br />1/4/2022 <br />LODI NURSING & REHABILITATION <br />TAYAG, JAMILAATTN : Billing Address: <br />LODI NURSING & REHABILITATION <br />1334 S HAM LN <br />LODI, CA 95242 <br />End of report7024.rpt