NPI 1003237603

Michael Bannister Adult Family Care Home

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Miami, FL

Practice location

Address: 14636 SW 95th Ln, Miami, FL 33186-1040
Phone: (305) 752-2684

Authorised official

Name: Michael Bannister
Title: Owner
Phone: (305) 752-2684

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 6905352 (FL)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Florida →

Registry record

NPI: 1003237603
Entity type: Organization
NPI issued: 27 Dec 2013
Record last updated: 27 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.