Table # Values
licensed_facility_listing_02 1 oshpd_id: 406364359
facility_name: DIVINE MERCY HOSPICE INC.
license_num: 550000483
facility_level_desc: Parent Facility
dba_address1: 5589 BROOKS ST
dba_city: MONTCLAIR
dba_zip_code: 91763
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 01/07/2008
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
longitude: -117.682589
latitude: 34.061785

licensed_healthcare_facility_listing 1 period: 2016-12-31
oshpd_id: 406364359
facility_name: DIVINE MERCY HOSPICE INC.
license_num: 550000483
facility_level_desc: Parent Facility
dba_address1: 5589 BROOKS ST
dba_city: MONTCLAIR
dba_zip_code: 91763
county_code: 36
county_name: SAN BERNARDINO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2008-01-07
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 34.06178500
longitude: -117.68258900