A Banyan Residence At Wildwood, Llc

LBN: A Banyan Residence At Wildwood, Llc
A Banyan Residence At Wildwood, Llc is an health care organization with primary practice located at 12427 County Road 101 , Oxford FL 34484-2941. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. A Banyan Residence At Wildwood, Llc can be contacted via phone (954) 854-8895, or through Anderson, Greg via phone (954) 536-4066.

Contact Information

Primary practice address
12427 County Road 101 Oxford FL 34484-2941
Phone: (954) 854-8895
Fax: (941) 412-4749
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Greg
Phone: (954) 536-4066

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1083201891
LBN Legal business name A Banyan Residence At Wildwood, Llc
DBA Doing business as
Authorized official Anderson, Greg
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 28th, 2020
Last updated Dec 28th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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