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Organization
BAYBERRY HOUSE
Active
Organization
BAYBERRY HOUSE
Active
Parent organization
BAYBERRY, INCORPORATED
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAYBERRY, INCORPORATED
Authorized official
LINDA WASHINGTON (CEO)
(707) 252-6845
Entity
Organization
Contact information
Practice address
400 AGUIRRE WAY, NAPA, CA 94559-3551
(707) 252-6733
Mailing address
1700 2ND ST STE 350, NAPA, CA 94559-2409
(707) 252-6845
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60052F
—
CA
Enumeration date
12/04/2007
Last updated
04/02/2012
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