# LAYTON PARK MEMORY CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639634561
- **Authorized official:** JARED ANDERSEN (MANAGING MEMBER)
- **Authorized official phone:** (801) 546-7417

## Contact information

- **Practice address:** 101 N FORT LN, LAYTON, UT 84041-5682
- **Practice address phone:** (801) 823-3112
- **Practice address fax:** (801) 719-6473
- **Mailing address:** 1133 N MAIN ST \# 300, LAYTON, UT 84041-4800
- **Mailing address phone:** (801) 546-7417
- **Mailing address fax:** (801) 546-5230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2019
- **Last updated:** 02/05/2019