A Banyan Residence at Wildwood, LLC
NPI #1083201891 in Oxford, Florida
Provider Information
- NPI Number
- 1083201891
- Entity Type
- Organization
- Organization Name
- A Banyan Residence at Wildwood, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- A BANYAN RESIDENCE ASSISTED LIVING LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 28, 2020
- Last Updated
- Dec 28, 2020
Practice Location
Authorized Official
- Name
- GREG ANDERSON
- Title
- MANAGING MEMBER
- Phone
- (954) 536-4066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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