ML
MEMORY LANE OF DEXTER, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
DEXTER, MO
Licensed since
2016
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1366997678
CMS Certification Number (CCN)265382
Agency details
Avg residents / day66.8
OwnershipFor profit - Limited Liability company
Chain affiliationPARADIGM SENIOR MANAGEMENT
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameBENJAMIN SELLS
TitleCEO
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