Table # Values
licensed_healthcare_facility_listing 4 period: current
oshpd_id: 406195208
facility_name: HOSPICE NUMBER 12 INC
license_num: 550007568
facility_level_desc: Parent Facility
dba_address1: 260 S Glendora Ave
dba_city: West Covina
dba_zip_code: 91790
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-12-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06909280
longitude: -117.92268040

period: 2022-12-31
oshpd_id: 406195208
facility_name: HOSPICE NUMBER 12 INC
license_num: 550007568
facility_level_desc: Parent Facility
dba_address1: None
dba_city: None
dba_zip_code: None
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-12-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06908000
longitude: -117.92269000

period: 2022-06-30
oshpd_id: 406195208
facility_name: HOSPICE NUMBER 12 INC
license_num: 550007568
facility_level_desc: Parent Facility
dba_address1: None
dba_city: None
dba_zip_code: None
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-12-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06908000
longitude: -117.92269000

period: 2023-06-30
oshpd_id: 406195208
facility_name: HOSPICE NUMBER 12 INC
license_num: 550007568
facility_level_desc: Parent Facility
dba_address1: 260 S Glendora Ave
dba_city: West Covina
dba_zip_code: 91790
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2021-12-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06908000
longitude: -117.92269000