| MEMORY LANE CARE HOME | Phone: (435)881-2679
|
| SHC-N - TYPE - N | Licensed Date: 27-SEP-10 |
| 1295 NORTH 1700 WEST | Certified Date: |
| FARR WEST, UT 84404 | Provider #: |
| County: WEBER | |
| Total Licensed Beds: |
3 |
| Total Medicare Only Beds: |
0 |
| Total Medicaid Only Beds: |
0 |
| Total Medicare/Medicaid Beds: |
0 |
| Total Certified Beds |
0 |