Organization
BANYLEE NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATONIA BANYLEE LEVY LPN (MANAGER)
(904) 549-3709
Entity
Organization
Contact information
Practice address
11333 OYSTER CREEK RD, JACKSONVILLE, FL 32218-2274
(904) 549-3709
Mailing address
11333 OYSTER CREEK RD, JACKSONVILLE, FL 32218-2274
(904) 549-3709
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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