Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Memory Lane, Inc

Organization Assisted Living Facility · NPI 1598149411

Memory Lane, Inc is an Assisted Living Facility in Van Buren, Arkansas. Licensed in Arkansas. Registered with an NPI since 2015.

Licensed in
AR
In the registry since
2015
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1012 Fayetteville Rd
Van Buren, AR 72956-3471
Phone: (479) 474-7223
Fax: (479) 474-3444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 101 (AR)
Alzheimer Center (Dementia Center) Taxonomy 311500000X · Licence 101 (AR)

Record details

NPI number1598149411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Johnson — Executive Director · (479) 474-7223
NPI enumeratedJuly 10, 2015
Last updated in NPPESJuly 10, 2015
Mailing address1012 Fayetteville Rd, Van Buren, AR 72956-3471

Other providers in Van Buren