Table # Values
licensed_healthcare_facility_listing 3 period: current
oshpd_id: 406195280
facility_name: FORMAL HOME HEALTH INC
license_num: 550007925
facility_level_desc: Parent Facility
dba_address1: 2060 HUNTINGTON DR
dba_city: SAN MARINO
dba_zip_code: 91108
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-03-31
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.12052500
longitude: -118.10880470

period: 2022-12-31
oshpd_id: 406195280
facility_name: FORMAL HOME HEALTH INC
license_num: 550007925
facility_level_desc: Parent Facility
dba_address1: 2060 Huntington Dr
dba_city: San Marino
dba_zip_code: 91108
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-03-31
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.12051000
longitude: -118.10882000

period: 2023-06-30
oshpd_id: 406195280
facility_name: FORMAL HOME HEALTH INC
license_num: 550007925
facility_level_desc: Parent Facility
dba_address1: 2060 Huntington Dr
dba_city: San Marino
dba_zip_code: 91108
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-03-31
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.12051000
longitude: -118.10882000