Banyan Sober Living, Inc.
LBN: Banyan Sober Living, Inc.
Banyan Sober Living, Inc. is an health care organization with primary practice located at 2500 E Commercial Blvd Suite D, Fort Lauderdale FL 33308-4124. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Laboratories / Clinical Medical Laboratory. Laboratories / Clinical Medical Laboratory is the primary health care specialty.
Banyan Sober Living, Inc. can be contacted via phone (954) 746-8232, or through Zaffuto, Neisha via phone (954) 746-8232.
Contact Information
Primary practice address
2500 E Commercial Blvd Suite D
Fort Lauderdale FL 33308-4124
Phone: (954) 746-8232
Fax: (954) 746-8981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | 10D2047989 | Florida |
Profile Details
| NPI number | 1285978338 |
|---|---|
| LBN Legal business name | Banyan Sober Living, Inc. |
| DBA Doing business as | |
| Authorized official | Zaffuto, Neisha |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2012 |
| Last updated | Jan 13th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285978338 | NPPES |
| Florida | Other | 10D2047989 | CLIA CERTIFICATE OF WAIVER |
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