Organization · Type 2 NPI
A Banyan Residence at Wildwood, LLC
Assisted Living Facility · Oxford, FL
NPI number
1083201891
Active
Practice location
12427 County Road 101
Oxford, FL 34484-2941
Fax (941) 412-4749
Mailing address
2515 Sherman Oak Dr
North Port, FL 34289-2390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other assisted living facility providers in Oxford
About NPI 1083201891
A Banyan Residence at Wildwood, LLC's National Provider Identifier is 1083201891, issued on Dec 28, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Oxford, FL. The record was last updated on Dec 28, 2020.