- Facility Name
- A BANYAN RESIDENCE AT WILDWOOD, LLC
- Type / Classification
- Assisted Living Facility
- Address
- 12427 COUNTY ROAD 101, OXFORD, FL 34484
- Phone Number
- (954) 854-8895
- NPI Number
- 1083201891
- Authorized Official
- GREG ANDERSON (Managing Member)
- Enumeration Date
- 2020-12-28