Country Pines Phase II Lc
NPI #1104037563 in Clinton, Utah
Provider Information
- NPI Number
- 1104037563
- Entity Type
- Organization
- Organization Name
- Country Pines Phase II Lc
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 25, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MYRNA L MCCLELLAN
- Title
- ADMINISTRATOR
- Phone
- (801) 773-0990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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