Memory Lane Llc

LBN: Memory Lane Llc
Memory Lane Llc is an health care organization with primary practice located at 1642 Lisa Ave , Vista CA 92084-3054. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Memory Lane Llc can be contacted via phone (760) 445-3639, or through Wombolt, Amy Michelle via phone (760) 445-3639.

Contact Information

Primary practice address
1642 Lisa Ave Vista CA 92084-3054
Phone: (760) 445-3639
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wombolt, Amy Michelle CDP
Phone: (760) 445-3639

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1922851435
LBN Legal business name Memory Lane Llc
DBA Doing business as
Authorized official Wombolt, Amy Michelle CDP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2024
Last updated Jun 17th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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