Organization
MEMORY LANE HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WHITNAH (OWNER)
(541) 523-1150
Entity
Organization
Contact information
Practice address
3078 RESORT ST, BAKER CITY, OR 97814-2100
(541) 523-1150
Mailing address
1920 1ST ST, BAKER CITY, OR 97814-3309
(541) 519-2784
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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