Organization
MEMORY LANE ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA FISCU RN (DSN/ ADMINISTRATOR)
(832) 627-6918
Entity
Organization
Contact information
Practice address
32802 WRIGHT RD, MAGNOLIA, TX 77355-8456
(281) 259-9657
(281) 259-2936
Mailing address
32802 WRIGHT RD, MAGNOLIA, TX 77355-8456
(281) 259-9657
(281) 259-2936
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/25/2017
Last updated
07/21/2022
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