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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0536168
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Last modified
1/17/2023 11:09:59 AM
Creation date
1/12/2023 3:20:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING/PERMITS
RECORD_ID
PR0536168
PE
4524
FACILITY_ID
FA0011262
FACILITY_NAME
WINDSOR ELMHAVEN CARE CENTER
STREET_NUMBER
6940
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
08126030
CURRENT_STATUS
01
SITE_LOCATION
6940 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main St. • Stockton,CA 95202-3029• Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> =r <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4524- SKILLED NURSING FACILITY <br /> Permit ID# PT0022163 for Record ID#PRO536168 <br /> Valid From 1/1/2012 To 12/31/2012 <br /> { " <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: WINDSOR HEALTHCARE LLP <br /> DBA: WINDSOR ELMHAVEN CARE CENTER <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: WINDSOR ELMHAVEN CARE CENTER Facility to FA0011262 <br /> 6940 PACIFIC AVE Account to AR0018262 <br /> STOCKTON CA 95207 Issued 11/30/2011 <br /> Billing Address: WINDSOR ELMHAVEN CARE CENTER <br /> 6940 PACIFIC AVE <br /> STOCKTON CA 95207 <br /> to crac <br />
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