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EHD Program Facility Records by Street Name
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FULTON
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4500 - Medical Waste Program
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PR0536169
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Entry Properties
Last modified
4/3/2025 11:00:28 AM
Creation date
1/10/2023 9:05:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING
RECORD_ID
PR0536169
PE
4524
FACILITY_ID
FA0009075
FACILITY_NAME
Fulton Gardens Post Acute
STREET_NUMBER
537
Direction
E
STREET_NAME
FULTON
STREET_TYPE
ST
City
STOCKTON
Zip
952042220
APN
11526016
CURRENT_STATUS
01
SITE_LOCATION
537 E FULTON ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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S ,JOA UIVOUNTY <br /> AN Q ENVIRONMENTAL HEALIITT)EPARTMENT <br /> 600 E.Main St. • Stockton,CA 95202-3029 • 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 1D#PT0022164 for Record ID#PRO536169 <br /> Valid From 1/1/2011 To 12/31/2011 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: 5 STAR QUALITY CARE <br /> DBA: LA SALETTE HEALTH &REHAB CTR <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LA SALETTE REHABILITATION Facility ID FA0009075 <br /> 537 E FULTON ST Account iD AR0016075 <br /> STOCKTON CA 95204-2220 issued 5/6/2011 <br /> Billing Address: LA SALETTE REHABILITATION <br /> 537 E FULTON ST <br /> STOCKTON CA 95204 <br /> 7o2o.rpt N <br />
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