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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 # PT0019113 for Record ID# PR0527314 <br /> Valid From 8/1/2023 To 7/31/2024 <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 /> DBA: VIENNA CONVALESCENT HOSPITAL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: VIENNA CONVALESCENT HOSPITAL Facility ID FA0000517 <br /> 800 S HAM LN Account ID AR0000516 <br /> LODI, CA 95242 Issued 6/19/2023 <br /> Billing Address: ATTN : VIENNA CONVALESCENT HOSPITAL <br /> VIENNA CONVALESCENT HOSPITAL <br /> 800 S HAM LANE <br /> LODI, CA 95242 <br /> 7024.rpt End of report <br />