- Facility Name
- A BANYAN RESIDENCE ASSISTED LIVING LLC
- Type / Classification
- Assisted Living Facility
- Address
- 100 BASE AVE E, VENICE, FL 34285
- Phone Number
- (941) 412-4748
- NPI Number
- 1770775413
- Authorized Official
- GREG ANDERSON (managing member)
- Enumeration Date
- 2007-08-16