Organization
BANYAN REALTY BR, LLC
Active
Other names
Banyan Place
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P WRENNE (EXEC. DIR.)
(561) 571-0300
Entity
Organization
Contact information
Practice address
2950 NW 5TH AVE, BOCA RATON, FL 33431-8226
(561) 571-0300
(561) 347-8858
Mailing address
2950 NW 5TH AVE, BOCA RATON, FL 33431-8226
(561) 571-0300
(561) 347-8858
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12548
FL
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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