Table # Values
licensed_facility_listing_11 1 oshpd_id: 406434278
facility_name: PSA HEALTHCARE
license_num: 550003049
facility_level_desc: Parent Facility
dba_address1: 828 S BASCOM AVE
dba_city: SAN JOSE
dba_zip_code: 95128
county_code: 43
county_name: SANTA CLARA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Closed
facility_status_date: 2016-10-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 37.31238000
longitude: -121.93177000

licensed_healthcare_facility_listing 1 period: 2017-06-30
oshpd_id: 406434278
facility_name: PSA HEALTHCARE
license_num: 550003049
facility_level_desc: Parent Facility
dba_address1: 828 S BASCOM AVE
dba_city: SAN JOSE
dba_zip_code: 95128
county_code: 43
county_name: SANTA CLARA
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Closed
facility_status_date: 2016-10-29
license_type_desc: Home Health Agency/Hospice
license_category_desc: Home Health Agency
latitude: 37.31238000
longitude: -121.93177000