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Organization
BERRYMAN HEALTH, INC
Active
Organization
BERRYMAN HEALTH, INC
Active
Other names
Healdsburg Senior Living Community
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAYE LINCLON (V.P. POLICY AND GOVERNMENT RELATION)
(801) 325-0153
Entity
Organization
Contact information
Practice address
725 GROVE ST, HEALDSBURG, CA 95448-4756
(707) 433-4877
(707) 433-5974
Mailing address
255 E 400 S, SUITE 200, SALT LAKE CITY, UT 84111-2846
(801) 325-0153
(801) 596-9001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
010000014
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55820F
—
CA
Enumeration date
12/13/2006
Last updated
12/14/2007
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