# PSALM 23 ASSISTED LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851075626
- **Authorized official:** MRS. IRMA GAWARAN LACONSAY (CEO / PRESIDENT)
- **Authorized official phone:** (858) 610-8455

## Contact information

- **Practice address:** 9431 REAGAN RD, SAN DIEGO, CA 92126-2203
- **Practice address phone:** (858) 610-8455
- **Mailing address:** 13536 DEL MARINO AVE, POWAY, CA 92064-5008
- **Mailing address phone:** (858) 610-8455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2023
- **Last updated:** 06/13/2023
