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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# PT0019096 for Record ID # PR0527297 <br /> Valid From 1/1/2023 To 12/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ALHL LLC <br /> DBA: LODI NURSING <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LODI NURSING & REHABILITATION Facility ID FA0018490 <br /> 1334 S HAM LN Account ID AR0032688 <br /> LODI, CA 95242 Issued 1/19/2023 <br /> Billing Address: ATTN : TAYAG, JAMILA <br /> LODI NURSING & REHABILITATION <br /> 1334 S HAM LN <br /> LODI, CA 95242 <br /> combined.rpt End of report <br />