Organization
NEW ERA CONGREGATE LIVING FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKUA BIRAGO (CEO)
(951) 236-1095
Entity
Organization
Contact information
Practice address
1180 SEA LAVENDER LN, BEAUMONT, CA 92223-8469
(951) 236-1095
(951) 689-6856
Mailing address
1180 SEA LAVENDER LN, BEAUMONT, CA 92223-8469
(951) 236-1095
(951) 689-6856
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
245024
CA
Other
Enumeration date
04/06/2018
Last updated
01/29/2021
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