Laserfiche WebLink
SAN JOAQ dUNTYkf VI ONMENTAL HEA' <br /> DEPARTMENT <br /> 1868 E Hazelton Ave. 4 Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> 1 <br /> ENVIRONMENTAL HEALTH <br /> 3 PERMIT TO OPERATE - 4524-SKILLED NURSING FACILITY Its, 3 t <br /> I % Permit ID# PT0000523 for Record ID# PR0450031 <br /> t Valid From 1/1/2013 To 12/31/2013 <br /> Wit+ <br /> 4 <br /> 7 <br /> 4 <br /> k <br /> r <br /> 8 <br /> i <br /> t <br /> i <br /> } <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: VIENNA CONVALESCENT HOSPITAL <br /> Ix <br /> ` THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> r � <br /> Regulated Facility: VIENNA CONVALESCENT HOSPITAL Facility ID FA0000517 <br /> x• 800 S HAM LN Account ID AR0000516 <br /> LODI CA 95242 issued 11/26/2012 <br />✓ h , <br /> p <br /> BiiiingAddress: VIENNA CONVALESCENT HOSPITAL <br /> v <br /> x 800 S HAM LANE <br /> LODI CA 95242 <br /> M <br /> r , <br />