MEMORY LANE COTTAGE AT TAMPA PALMS, LLC is an assisted living facility in Tampa, FL. 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 COTTAGE AT TAMPA PALMS, LLC NPI is 1740664887. The provider is registered as an organization entity type.
The provider Is Doing Business As Memory Lane Cottage.
The provider's business location address is:
5175 CYPRESS PRESERVE DR
TAMPA, FL
ZIP 33647-674
Phone: (813) 632-1270
Fax: (813) 632-1272
The provider's authorized official is Kelly Jean Irish .
The authorized official title is Administrator and has the following contact phone number (813) 632-1270.
The CLIA number assigned to this NPI record is 10D2204817 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/18/2015 and was last updated on 9/12/2023.