A Banyan Residence at Wildwood, LLC
A Banyan Residence at Wildwood, LLC is an Assisted Living Facility in Oxford, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12427 County Road 101Oxford, FL 34484-2941
Phone: (954) 854-8895
Fax: (941) 412-4749
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|
Record details
| NPI number | 1083201891 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | A Banyan Residence Assisted Living LLC |
| Authorized official | Greg Anderson — Managing Member · (954) 536-4066 |
| NPI enumerated | December 28, 2020 |
| Last updated in NPPES | December 28, 2020 |
| Certification date | December 28, 2020 |
| Mailing address | 2515 Sherman Oak Dr, North Port, FL 34289-2390 |
Other providers in Oxford
-
Mission Oaks Assisted Living
10780 N US Highway 301, Oxford, FL 34484-3505 · (352) 330-3900