Table # Values
licensed_healthcare_facility_listing 3 period: current
oshpd_id: 306500694
facility_name: COFFEE ROAD DIALYSIS
license_num: 550007759
facility_level_desc: Parent Facility
dba_address1: 1328 Coffee Rd
dba_city: Modesto
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-01-12
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.66271920
longitude: -120.97522860

period: 2022-12-31
oshpd_id: 306500694
facility_name: COFFEE ROAD DIALYSIS
license_num: 550007759
facility_level_desc: Parent Facility
dba_address1: 1328 Coffee Rd
dba_city: Modesto
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-01-12
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.66269000
longitude: -120.97483000

period: 2023-06-30
oshpd_id: 306500694
facility_name: COFFEE ROAD DIALYSIS
license_num: 550007759
facility_level_desc: Parent Facility
dba_address1: 1328 Coffee Rd
dba_city: Modesto
dba_zip_code: 95355
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-01-12
license_type_desc: Clinic
license_category_desc: Chronic Dialysis Clinic
latitude: 37.66269000
longitude: -120.97483000