Memory Lane Homes, LLC
NPI #1740744820 in Baker City, Oregon
Provider Information
- NPI Number
- 1740744820
- Entity Type
- Organization
- Organization Name
- Memory Lane Homes, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 23, 2019
- Last Updated
- Jan 23, 2019
Practice Location
- Address
- 3078 RESORT ST
- City
- Baker City
- State
- Oregon
- ZIP Code
- 97814-2100
- Phone
- (541) 523-1150
Authorized Official
- Name
- ROBERT WHITNAH
- Title
- OWNER
- Phone
- (541) 523-1150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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