Organization
MEMORY LANE HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LETISIA MORENO CABALLERO RN (ADMINISTRATOR)
(956) 287-2999
Entity
Organization
Contact information
Practice address
312 W UNIVERSITY DR, EDINBURG, TX 78539-3302
(956) 287-2999
(956) 287-2998
Mailing address
1207 JOANN ST, EDINBURG, TX 78539-6017
(956) 287-2999
(956) 287-2998
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/24/2010
Last updated
07/11/2025
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