Table # Values
licensed_facility_listing_02 1 oshpd_id: 306364488
facility_name: INNOVAGE GREATER CALIFORNIA PACE INLAND EMPIRE
license_num: 550002500
facility_level_desc: Parent Facility
dba_address1: 410 E PARKCENTER CIR N
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 05/13/2014
license_type_desc: Clinic
license_category_desc: Community Clinic
longitude: -117.27663
latitude: 34.0762

licensed_facility_listing_03 1 oshpd_id: 306364488
facility_name: INNOVAGE GREATER CALIFORNIA PACE INLAND EMPIRE
license_num: 550002500
facility_level_desc: Parent Facility
dba_address1: 410 E PARKCENTER CIR N
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 5/13/2014
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 34.0762
longitude: -117.27663

licensed_facility_listing_11 1 oshpd_id: 306364488
facility_name: INNOVAGE GREATER CALIFORNIA PACE INLAND EMPIRE
license_num: 550002500
facility_level_desc: Parent Facility
dba_address1: 410 E PARKCENTER CIR N
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-05-13
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 34.07620000
longitude: -117.27663000

licensed_facility_listing_12 1 oshpd_id: 306364488
facility_name: INNOVAGE GREATER CALIFORNIA PACE INLAND EMPIRE
license_num: 550002500
facility_level_desc: Parent Facility
dba_address1: 410 E PARKCENTER CIR N
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-05-13
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 34.07620000
longitude: -117.27663000

licensed_healthcare_facility_listing 4 period: 2016-12-31
oshpd_id: 306364488
facility_name: INNOVAGE GREATER CALIFORNIA PACE INLAND EMPIRE
license_num: 550002500
facility_level_desc: Parent Facility
dba_address1: 410 E PARKCENTER CIR N
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-05-13
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 34.07620000
longitude: -117.27663000

period: 2017-12-31
oshpd_id: 306364488
facility_name: INNOVAGE GREATER CALIFORNIA PACE INLAND EMPIRE
license_num: 550002500
facility_level_desc: Parent Facility
dba_address1: 410 E PARKCENTER CIR N
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-05-13
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 34.07620000
longitude: -117.27663000

period: 2017-06-30
oshpd_id: 306364488
facility_name: INNOVAGE GREATER CALIFORNIA PACE INLAND EMPIRE
license_num: 550002500
facility_level_desc: Parent Facility
dba_address1: 410 E PARKCENTER CIR N
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-05-13
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 34.07620000
longitude: -117.27663000

period: 2018-06-30
oshpd_id: 306364488
facility_name: INNOVAGE GREATER CALIFORNIA PACE INLAND EMPIRE
license_num: 550002500
facility_level_desc: Parent Facility
dba_address1: 410 E PARKCENTER CIR N
dba_city: SAN BERNARDINO
dba_zip_code: 92408
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2014-05-13
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 34.07620000
longitude: -117.27663000