Organization · Type 2 NPI

Memory Lane Assisted Living

Assisted Living Facility · Apple Valley, MN

NPI number 1114722097 Active

Practice location

15117 Emory Cir
Apple Valley, MN 55124-1808

Call (612) 298-0555 Map

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Assisted Living Facility Primary 310400000XNone listed
Respite Care 385H00000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1114722097

Memory Lane Assisted Living's National Provider Identifier is 1114722097, issued on Feb 15, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Apple Valley, MN. The record was last updated on Feb 15, 2025.