# BERRYMAN HEALTH, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healdsburg Senior Living Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699837229
- **Authorized official:** MS. FAYE LINCLON (V.P. POLICY AND GOVERNMENT RELATION)
- **Authorized official phone:** (801) 325-0153

## Contact information

- **Practice address:** 725 GROVE ST, HEALDSBURG, CA 95448-4756
- **Practice address phone:** (707) 433-4877
- **Practice address fax:** (707) 433-5974
- **Mailing address:** 255 E 400 S, SUITE 200, SALT LAKE CITY, UT 84111-2846
- **Mailing address phone:** (801) 325-0153
- **Mailing address fax:** (801) 596-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 010000014 | CA | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 12/14/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55820F | — | CA |