Organization · Type 2 NPI

Country Pines Phase II LC

Assisted Living Facility · Clinton, UT

NPI number 1104037563 Active

Practice location

1706 W 1800 N
Clinton, UT 84015-8324

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X006871 (UT)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1104037563

Country Pines Phase II LC's National Provider Identifier is 1104037563, issued on May 25, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Clinton, UT. The record was last updated on Aug 22, 2020.