Organization
PSALM 23 ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRMA GAWARAN LACONSAY (CEO / PRESIDENT)
(858) 610-8455
Entity
Organization
Contact information
Practice address
9431 REAGAN RD, SAN DIEGO, CA 92126-2203
(858) 610-8455
Mailing address
13536 DEL MARINO AVE, POWAY, CA 92064-5008
(858) 610-8455
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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