Table # Values
licensed_healthcare_facility_listing 1 period: current
oshpd_id: 406500020
facility_name: GENTIVA
license_num: 550000790
facility_level_desc: Branch
dba_address1: 4216 KIERNAN AVE
dba_city: MODESTO
dba_zip_code: 95356
county_code: 50
county_name: Stanislaus
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2023-12-14
license_type_desc: Home Health Agency/Hospice
license_category_desc: Hospice
latitude: 37.71041670
longitude: -121.07285180