Provider Demographics
NPI:1326476177
Name:HOUSE OF PSALMS
Entity Type:Organization
Organization Name:HOUSE OF PSALMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:YONGYI
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-251-2521
Mailing Address - Street 1:1525 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-2919
Mailing Address - Country:US
Mailing Address - Phone:510-251-2521
Mailing Address - Fax:510-238-9677
Practice Address - Street 1:1525 7TH AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-2919
Practice Address - Country:US
Practice Address - Phone:510-251-2521
Practice Address - Fax:510-238-9677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-14
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0156014663104A0625X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness