Organization
ANDERSON CARE HOME
Active
Other names
Memory Lane Care Home
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH FAYE ANDERSON RN (NURSE ADMINISTRATOR)
(435) 720-7295
Entity
Organization
Contact information
Practice address
1295 N 1700 W, FARR WEST, UT 84404-3498
(435) 720-7295
Mailing address
1295 N 1700 W, FARR WEST, UT 84404-3498
(435) 720-7295
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251J00000X
Nursing Care Agency
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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