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SAN JOAQU1i;'C:OUNTY ENVIRONMENTAL HEAAlliEPART MENT
<br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • 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 ID# PT0022173 for Record ID# PR0536182
<br /> sig Valid From 1/1/2014 To 12/31/2014
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> 47 � ``�` and may be SUSPENDED or REVOKED for cause.
<br /> t ,ter PERMIT(s)Valid only for: KINDRED TRANSITIONAL CARE& REHAB Y a
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<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Regulated Facility: VALLEY GARDENS ' r � , n � � Facility ID FA0009746
<br /> Account ID AR0016746
<br /> 1517 KNICKERBOCKER DR ,L
<br /> r " €� ' Issued 11/22/2013
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<br /> Billing Address: ATTN : KINDRED TRANSITIONAL CARE & REHABi ,
<br /> VALLEY GARDENS
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<br /> STOCKTON CA 95210 �1
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