| Organization Name: | KEYS2MEMORY, LLC |
| NPI Number: | 1043567647 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELENA SCHJAVLAND (OWNER/PROVIDER) |
| Mailing Address: | 20 Burrows St Mystic |
| State: | CT US |
| Postal Code: | 063552445 |
| Phone Number: | 8602454144 |
| Fax Number: | 8602454145 |
| NPI Enumeration Date: | 08/14/2012 |
| NPI Last Update Date: | 01/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 002017 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |