Organization · Type 2 NPI

A Banyan Residence Assisted Living LLC

Assisted Living Facility · Venice, FL

NPI number 1770775413 Active

Practice location

100 Base Ave E
Venice, FL 34285-3809

Call (941) 412-4748 Map

Mailing address

3107 NE 40th Ct
Fort Lauderdale, FL 33308-6413

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAPPLIED FOR IT (FL)

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.

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About NPI 1770775413

A Banyan Residence Assisted Living LLC's National Provider Identifier is 1770775413, issued on Aug 16, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Venice, FL. The record was last updated on Dec 17, 2009.