Table # Values
licensed_healthcare_facility_listing 15 period: current
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W YOSEMITE AVE
dba_city: MANTECA
dba_zip_code: 95337
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79607860
longitude: -121.24282930
period: 2016-12-31
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W YOSEMITE AVE
dba_city: MANTECA
dba_zip_code: 95337
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000
period: 2017-12-31
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W YOSEMITE AVE
dba_city: MANTECA
dba_zip_code: 95337
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000
period: 2018-12-31
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W YOSEMITE AVE
dba_city: MANTECA
dba_zip_code: 95337
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000
period: 2019-12-31
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W YOSEMITE AVE
dba_city: MANTECA
dba_zip_code: 95337
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000
period: 2020-12-31
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W Yosemite Ave
dba_city: Manteca
dba_zip_code: 95337
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000
period: 2021-12-31
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W Yosemite Ave
dba_city: Manteca
dba_zip_code: 95337
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000
period: 2022-12-31
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W Yosemite Ave
dba_city: Manteca
dba_zip_code: 95337
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000
period: 2017-06-30
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W YOSEMITE AVE
dba_city: MANTECA
dba_zip_code: 95337
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000
period: 2018-06-30
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W YOSEMITE AVE
dba_city: MANTECA
dba_zip_code: 95337
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000
period: 2019-06-30
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W YOSEMITE AVE
dba_city: MANTECA
dba_zip_code: 95337
county_code: 39
county_name: SAN JOAQUIN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000
period: 2020-06-30
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W Yosemite Ave
dba_city: Manteca
dba_zip_code: 95337
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000
period: 2021-06-30
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W Yosemite Ave
dba_city: Manteca
dba_zip_code: 95337
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000
period: 2022-06-30
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W Yosemite Ave
dba_city: Manteca
dba_zip_code: 95337
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000
period: 2023-06-30
oshpd_id: 306394122
facility_name: MANTECA DIALYSIS
license_num: 110000462
facility_level_desc: Parent Facility
dba_address1: 1620 W Yosemite Ave
dba_city: Manteca
dba_zip_code: 95337
county_code: 39
county_name: San Joaquin
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2016-04-04
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.79731000
longitude: -121.24275000