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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave•Stockton,CA 95205-6232•Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 1628-LICENSED HEALTH CARE FACILITY <br /> Permit ID# PT0019814 for Record ID # PR0528477 <br /> Valid From 10/1/2022 To 9/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PRESTIGE CARE INC <br /> DBA: PRESTIGE SENIOR LIVING AT MICA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: PRESTIGE SENIOR LIVING AT MANTECA Facility ID FA0019191 <br /> 1130 EMPIRE AVE Account ID AR0034155 <br /> MANTECA, CA 95336 Issued 9/26/2022 <br /> Billing Address: ATTN : TAYLOR MEAD <br /> PRESTIGE SENIOR LIVING AT MANTECA <br /> 1130 EMPIRE AVE <br /> MANTECA, CA 95336 <br /> combined.rpt End of report <br />