# FERN GARDENS MEMORY CARE LLC

> 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:** 1780471326
- **Authorized official:** JENNIFER LYNN BRODBECK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (419) 789-1181

## Contact information

- **Practice address:** 2636 TABLE ROCK RD, MEDFORD, OR 97501-1525
- **Practice address phone:** (541) 779-3368
- **Practice address fax:** (541) 500-3021
- **Mailing address:** 2636 TABLE ROCK RD, MEDFORD, OR 97501-1525
- **Mailing address phone:** (541) 779-3368
- **Mailing address fax:** (541) 500-3021

## Taxonomy

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

## Other

- **Enumeration date:** 04/24/2025
- **Last updated:** 04/24/2025