Memory Lane LLC
Memory Lane LLC is an In Home Supportive Care Agency in Vista, California. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1642 Lisa AveVista, CA 92084-3054
Phone: (760) 445-3639
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|
Record details
| NPI number | 1922851435 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amy Wombolt — Owner · (760) 445-3639 |
| NPI enumerated | April 8, 2024 |
| Last updated in NPPES | June 17, 2024 |
| Certification date | June 17, 2024 |
| Mailing address | 1642 Lisa Ave, Vista, CA 92084-3054 |
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