A BANYAN RESIDENCE ASSISTED LIVING LLC
Nursing at Base Ave, Venice, FL

License number
Florida APPLIED FOR IT
Category
Nursing
Type
Assisted Living Facility
Owner
Name: MR. GREG A ANDERSON
Title: MANAGING MEMBER
Phone: (954) 454-2345
Address
Address 2
100 Base Ave E, Venice, FL 34285
3107 NE 40Th Ct, Fort Lauderdale, FL 33308
National Provider ID: 1770775413
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about A BANYAN RESIDENCE ASSISTED LIVING LLC at bizstanding.com

A Banyan Residence Assisted Living LLC

100 Base Ave E, Venice, FL 34285

Doing business as:
A Banyan Residence Assisted Living Resort
Inactive reason:
LC AMENDMENT AND NAME CHANGE
Registration:
2010
Inactive since:
Jul 6, 2009
Phone:
(941) 412-4748 (Phone)
State ID:
L07000064957
Business type:
Florida Limited Liability Company
Abanyan Residence
Agent:
Greg Anderson,3107 NE 40 Ct, Fort Lauderdale, FL 33308 (Physical)
EIN:
260399195

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