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A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Assisted Living Facility |
310400000X | |||
Alzheimer Center /Dementia Center/Dementia Special Care Unit |
311500000X |
| NPI Number | 1598149411 |
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| LBN Legal business name | MEMORY LANE, INC. | ||||||||
| Authorized official | DEBRA JOHNSON - (EXECUTIVE DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/10/2015 | ||||||||
| Last updated | 07/10/2015 - About 11 years ago | ||||||||
| Identifiers |
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MEMORY LANE, INC.