Table # Values
licensed_healthcare_facility_listing 1 period: current
oshpd_id: 406198705
facility_name: TAG HOSPICE, INC.
license_num: 550007607
facility_level_desc: Parent Facility
dba_address1: 6412 MATILIJA 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: 2021-12-20
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.18721490
longitude: -118.43315000