Table # Values
licensed_healthcare_facility_listing 1 period: current
oshpd_id: 406196621
facility_name: FOUNTAIN HOSPICE, INC.
license_num: 550006369
facility_level_desc: Parent Facility
dba_address1: 6308 Woodman Ave
dba_city: Van Nuys
dba_zip_code: 91401
county_code: 19
county_name: Los Angeles
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2023-05-14
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.18514330
longitude: -118.43086290