MEMORY LANE, INC. is an assisted living facility in Van Buren, AR. The provider is 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. MEMORY LANE, INC. NPI is 1598149411. The provider is registered as an organization entity type.
The provider's business location address is:
1012 FAYETTEVILLE RD
VAN BUREN, AR
ZIP 72956-471
Phone: (479) 474-7223
Fax: (479) 474-3444
The provider's authorized official is Debra Jean Johnson .
The authorized official title is Executive Director and has the following contact phone number (479) 474-7223.
The enumeration date for this NPI number is 7/10/2015 and was last updated on 7/10/2015.