Organization
BERSONN II LLC
Active
Other names
New Era Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL BERNABE (MANAGER)
(863) 859-0475
Entity
Organization
Contact information
Practice address
815 W DAUGHTERY RD, LAKELAND, FL 33809-3121
(863) 859-0475
Mailing address
815 W DAUGHTERY RD, LAKELAND, FL 33809-3121
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001111900
—
FL
Enumeration date
11/13/2014
Last updated
11/13/2014
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