OrganizationActive
Agesong Inc
NPI 1366818031 · Assisted Living Facility (Mental Illness) · Oakland, CA
Provider details
- NPI number
- 1366818031
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Parent organization
- Agesong Inc
- Authorized official
- Diana Chang, Mft Intern
Mailing address
3121 Fruitvale Ave
Oakland, CA 94602-2112
Registry dates
- Enumerated
- 2015-08-18
- Last updated
- 2016-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.