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Long Term Care Facility Details

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Facility Information
Facility Name: Memory Lane, Inc. ALF1
Mailing Address: 1012 Fayetteville Road, Van Buren, AR 72956
Physical Address: 1012 Fayetteville Road, Van Buren, AR 72956
County: Crawford
Phone Number: 479-474-7233
Fax Number: 479-474-3444
Email: tiffany@memorylanevb.com
Administrator and Certifications
Administrator: Tiffany Perryman
Administrator License No: 1219
Life Safety Code Years: 4/8/2009
Certification: Alzheimer's Special Care Unit
Certified Beds
Total Licensed Beds: 34
Medicaid Beds: 0
Medicare Beds: 0
Medicaid/Medicare Beds: 0
Private Beds: 34
Classification: Assisted Living Facility Level I
Ownership and Financial Interest
Entity Type: Non Profit
Corporation Name: Memory Lane INC

Arkansas Department
of Human Services
(501) 682-1001

TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service

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