# ANDERSON CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memory Lane Care Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649820341
- **Authorized official:** HANNAH FAYE ANDERSON RN (NURSE ADMINISTRATOR)
- **Authorized official phone:** (435) 720-7295

## Contact information

- **Practice address:** 1295 N 1700 W, FARR WEST, UT 84404-3498
- **Practice address phone:** (435) 720-7295
- **Mailing address:** 1295 N 1700 W, FARR WEST, UT 84404-3498
- **Mailing address phone:** (435) 720-7295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 273Y00000X | Rehabilitation Hospital Unit | — | — | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | — | Yes |
| 314000000X | Skilled Nursing Facility | — | — | — |
| 385H00000X | Respite Care | — | — | — |

## Other

- **Enumeration date:** 09/13/2019
- **Last updated:** 09/13/2019