Organization · NPI-2

Berry Assisted Living LLC

Contractor · Dallas, TX

NPI number1023630332
StatusActive
Last updated in NPPESJun 23, 2026

Details

NPI
1023630332
Entity type
Organization (NPI-2)
Legal business name
Berry Assisted Living LLC
Organization subpart
No
Enumeration date
May 8, 2020
Certification date
Jun 23, 2026
Last updated
Jun 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor––Yes
163W00000X Registered Nurse––

Practice location

2411 Catherine St Ste A
Dallas, TX 75211-5326

Phone 972-342-8527 · Fax 972-286-8330

Mailing address

2411 Catherine St Ste A
Dallas, TX 75211-5326

Phone 972-342-8527 · Fax 972-286-8330

Authorized official

Juana Berry
Program Manager
9723428527

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