Table # Values
licensed_facility_listing_02 1 oshpd_id: 406154166
facility_name: ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP
license_num: 550001769
facility_level_desc: Parent Facility
dba_address1: 1431 W ROSAMOND BLVD
dba_city: ROSAMOND
dba_zip_code: 93560
county_code: 15
county_name: KERN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 09/20/2011
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
longitude: -118.15682
latitude: 34.86452

licensed_facility_listing_03 1 oshpd_id: 406154166
facility_name: ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP
license_num: 550001769
facility_level_desc: Parent Facility
dba_address1: 1431 W ROSAMOND BLVD
dba_city: ROSAMOND
dba_zip_code: 93560
county_code: 15
county_name: KERN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 9/20/2011
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.86452
longitude: -118.15682

licensed_facility_listing_11 1 oshpd_id: 406154166
facility_name: ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP
license_num: 550001769
facility_level_desc: Parent Facility
dba_address1: 1431 W ROSAMOND BLVD
dba_city: ROSAMOND
dba_zip_code: 93560
county_code: 15
county_name: KERN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2011-09-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.86452000
longitude: -118.15682000

licensed_facility_listing_12 1 oshpd_id: 406154166
facility_name: ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP
license_num: 550001769
facility_level_desc: Parent Facility
dba_address1: 1431 W ROSAMOND BLVD
dba_city: ROSAMOND
dba_zip_code: 93560
county_code: 15
county_name: KERN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2011-09-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.86452000
longitude: -118.15682000

licensed_healthcare_facility_listing 4 period: 2016-12-31
oshpd_id: 406154166
facility_name: ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP
license_num: 550001769
facility_level_desc: Parent Facility
dba_address1: 1431 W ROSAMOND BLVD
dba_city: ROSAMOND
dba_zip_code: 93560
county_code: 15
county_name: KERN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2011-09-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.86452000
longitude: -118.15682000

period: 2017-12-31
oshpd_id: 406154166
facility_name: ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP
license_num: 550001769
facility_level_desc: Parent Facility
dba_address1: 1431 W ROSAMOND BLVD
dba_city: ROSAMOND
dba_zip_code: 93560
county_code: 15
county_name: KERN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2011-09-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.86452000
longitude: -118.15682000

period: 2017-06-30
oshpd_id: 406154166
facility_name: ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP
license_num: 550001769
facility_level_desc: Parent Facility
dba_address1: 1431 W ROSAMOND BLVD
dba_city: ROSAMOND
dba_zip_code: 93560
county_code: 15
county_name: KERN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2011-09-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.86452000
longitude: -118.15682000

period: 2018-06-30
oshpd_id: 406154166
facility_name: ANTELOPE VALLEY EPSDT & WAIVERS AGENCY, CORP
license_num: 550001769
facility_level_desc: Parent Facility
dba_address1: 1431 W ROSAMOND BLVD
dba_city: ROSAMOND
dba_zip_code: 93560
county_code: 15
county_name: KERN
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2011-09-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.86452000
longitude: -118.15682000