| NPI | 1992021992 |
|---|---|
| Doing Business As | MEMORY LANES |
| Entity Type | Organization |
| Authorized Contact | HOLLI T CAMPBELL-FOUGERE President 508-747-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |