Table # Values
licensed_facility_listing_02 1 oshpd_id: 406364214
facility_name: MOUNTAIN NURSING CARE SERVICE
license_num: 240000663
facility_level_desc: Parent Facility
dba_address1: 23493 CREST FOREST DR
dba_city: CRESTLINE
dba_zip_code: 92325
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 10/18/1996
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
longitude: -117.29073
latitude: 34.23735

licensed_facility_listing_11 1 oshpd_id: 406364214
facility_name: MOUNTAIN NURSING CARE SERVICE
license_num: 240000663
facility_level_desc: Parent Facility
dba_address1: 23493 CREST FOREST DR
dba_city: CRESTLINE
dba_zip_code: 92325
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Closed
facility_status_date: 2016-12-12
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.23735000
longitude: -117.29073000

licensed_healthcare_facility_listing 2 period: 2016-12-31
oshpd_id: 406364214
facility_name: MOUNTAIN NURSING CARE SERVICE
license_num: 240000663
facility_level_desc: Parent Facility
dba_address1: 23493 CREST FOREST DR
dba_city: CRESTLINE
dba_zip_code: 92325
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 1996-10-18
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.23735000
longitude: -117.29073000

period: 2017-06-30
oshpd_id: 406364214
facility_name: MOUNTAIN NURSING CARE SERVICE
license_num: 240000663
facility_level_desc: Parent Facility
dba_address1: 23493 CREST FOREST DR
dba_city: CRESTLINE
dba_zip_code: 92325
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Closed
facility_status_date: 2016-12-12
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 34.23735000
longitude: -117.29073000