MEMORY LANE, INC.
NPI: 1598149411
· VAN BUREN, AR 72956
· Alzheimer Center (Dementia Center)
· NPI assigned 07/10/2015
$278K
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, DEBRA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/10/2015 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, DEBRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
163 |
$226K |
| 2019 |
41 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T2031 |
Assisted living; waiver, per diem |
204 |
161 |
$278K |