Organization
BERRY ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA BERRY (PROGRAM MANAGER)
(972) 342-8527
Entity
Organization
Contact information
Practice address
2501 W 12TH ST, DALLAS, TX 75211-2702
(972) 342-8527
(972) 286-8330
Mailing address
2501 W 12TH ST, DALLAS, TX 75211-2702
(972) 342-8527
(972) 286-8330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
08/27/2024
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