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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KNICKERBOCKER
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1517
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4500 - Medical Waste Program
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PR0536182
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COMPLIANCE INFO
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Entry Properties
Last modified
7/15/2025 3:48:44 PM
Creation date
7/3/2020 10:19:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536182
PE
4524 - SKILLED NURSING FACILITY
FACILITY_ID
FA0009746
FACILITY_NAME
Kindred Transitional Care and Rehabilitation Valley Gardens
STREET_NUMBER
1517
STREET_NAME
KNICKERBOCKER
STREET_TYPE
DR
City
STOCKTON
Zip
95210
APN
09056004
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0536182_1517 KNICKERBOCKER_.tif
Site Address
1517 KNICKERBOCKER DR STOCKTON 95210
Tags
EHD - Public
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15-10-30 10:28 <br />Kindred <br />Transitional Care <br />P!:*(:: Rehabilitation <br />Valley Gardem <br />im <br />COMPANY: <br />is <br />FAX NUMBER: ZQq-Lj(,$ - $3 92 0�2 <br />X01-- 'ttoL-I <br />PHONE NUMBER: <br />RE-. <br />o URGENT <br />o FOR REVIEW <br />o PLEASE COMMENT <br />o PLEASE REPLY <br />o PLEASE RECYCLE <br />NOTES/COMMENTS: <br />> 2094688392 P 1/7 <br />Dedicated o(.:, <br />FROM:lein�Te� <br />DATE: <br />TOTAL NO. OF PAGES INCLUDING CC <br />SENDER'S REFERENCE NUMBER: <br />,34 <br />YOUR EFE NCE NUMBER: <br />/Df� //, C — — <br />This fax is intended only for the use of the individual or entity to which it <br />addresses and may contain information that is privileged, confidential and <br />exempt from other disclosure under applicable law. If you have received this fax <br />in error, please contact our facility immediately at 209-957-4539. Thank you. <br />1517 East Knickerbocker Drive • Stockton, California 95210 <br />209.957.4539 - 209.957.5831 fax • 800.735.2922 TDD/TTY <br />Received Time Oct.30. 2015 10:44AM No.1401 <br />Dc <br />S <br />
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