Organization
RASTELLE MANOR
Active
Other names
New Era Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WINSTON CUBERO BERNABE (OWNER/ADMINISTRATOR)
(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
03/27/2006
Last updated
03/10/2011
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