Organization
BERSONN LLC
Active
Other names
rastelle manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WINSTON CUBERO BERNABE (ADMINISTRATOR/OWNER)
(386) 252-2627
Entity
Organization
Contact information
Practice address
934 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-5328
(386) 252-2627
(386) 252-4236
Mailing address
934 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-5328
(386) 252-2627
(386) 252-4236
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL5777
FL
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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