PREFIX 004 N UNKNOWNS IDE RESIDENTIAL HEALTH CENTER, INC (X5) ID PREFIX 0009 A UNKNOWNS IDE RESIDENTIAL HEALTH CENTER, INC, (X5) ID PREFIX 006 E UNKNOWNS IDE RESIDENTIAL HEALTH CENTER, INC (X5) ID PREFIX 003 NUNKNOWNSIDE RESIDENTIAL HEALTH CENTER, INC (X5) ID PREFIX 007 E UNKNOWNS IDE RESIDENTIAL HEALTH CENTER, INC (X5) ID PREFIX 006 B UNKNOWNS IDE RESIDENTIAL HEALTH CENTER, INC (X5) ID PREFIX 008 A UNKNOWNS IDE RESIDENTIAL HEALTH CENTER, INC (X5) ID PREFIX 004 N UNKNOWNS IDE RESIDENTIAL HEALTH CENTER, INC (X5) ID PREFIX 006 E UNKNOWNS IDE RESIDENTIAL HEALTH CENTER, INC (X5) ID PREFIX 007 E UNKNOWNS IDE RESIDENTIAL HEALTH CENTER, INC (X5) ID PREFIX 006 B UNKNOWNS IDE RESIDENTIAL HEALTH CENTER, INC (X5) ID PREFIX 008 B UNKNOWNS IDE RESIDENTIAL HEALTH CENTER, INC (X5) ID PREFIX 006 C UNKNOWNS IDE RESIDENTIAL HEALTH CENTER, INC (X5) ID PREFIX 0008 C UNKNOWNS IDE RESIDENTIAL HEALTH CENTER, INC (X5) UNKNOWN A. BUILDING UNKNOWN B. WING STREET UNKNOWN DATE SURVEY COMPLETED NEWPORT AGRICULTURE CENTER, INC. NEVADA 47 B. WING STREET UNKNOWN LOS ANGELES, CA 90 SITE 1 DATE SURVEY COMPLETED LOS ANGELES, CA 90 WIFE'S PLACE DINER & BAR CO INC LOS ANGELES, CA 90 HOSPITAL UN INC. UNKNOWN NUNKNOWNSIDE RESIDENTIAL HEALTH CENTER, INC. LOS ANGELES, CA 90 C.
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PRINTED: 01/20/2011 FORM APPROVED Bureau of Health Care Quality and Compliance STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION
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