Provider Demographics
NPI:1447692868
Name:PSALM'S CARE
Entity type:Organization
Organization Name:PSALM'S CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIQQUITTIA
Authorized Official - Middle Name:SE
Authorized Official - Last Name:CARTER-WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-963-0213
Mailing Address - Street 1:1812 CROWN HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7428
Mailing Address - Country:US
Mailing Address - Phone:407-306-9005
Mailing Address - Fax:407-306-9008
Practice Address - Street 1:1812 CROWN HILL BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7428
Practice Address - Country:US
Practice Address - Phone:407-306-9005
Practice Address - Fax:407-306-9008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL12056310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility