| NPI | 1366997678 |
|---|---|
| Doing Business As | MEMORY LANE OF DEXTER |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN P SELLS CEO 573-614-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2023-04-13 |