Table # Values
licensed_facility_listing_05 1 oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W. GRAND AVENUE
dba_city: GROVER BEACH
dba_zip_code: 93433
county_code: 40
county_name: SAN LUIS OBISPO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

licensed_facility_listing_06 1 oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

licensed_facility_listing_07 1 oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

licensed_facility_listing_08 1 oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

licensed_facility_listing_09 1 oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12138120
longitude: -120.61332460

licensed_facility_listing_14 1 oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

licensed_facility_listing_15 1 oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

licensed_facility_listing_16 1 oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

licensed_facility_listing_17 1 oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

licensed_healthcare_facility_listing 8 period: 2019-12-31
oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W. GRAND AVENUE
dba_city: GROVER BEACH
dba_zip_code: 93433
county_code: 40
county_name: SAN LUIS OBISPO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

period: 2020-12-31
oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

period: 2021-12-31
oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

period: 2022-12-31
oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

period: 2020-06-30
oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

period: 2021-06-30
oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

period: 2022-06-30
oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000

period: 2023-06-30
oshpd_id: 406401660
facility_name: INTER-COMMUNITY HOSPICE, INC.
license_num: 550004661
facility_level_desc: Parent Facility
dba_address1: 1445 W Grand Ave
dba_city: Grover Beach
dba_zip_code: 93433
county_code: 40
county_name: San Luis Obispo
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2019-05-09
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 35.12123000
longitude: -120.61355000