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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