Country Pines Memory Care, LLC

NPI #1336694546 in Clinton, Utah

Provider Information

NPI Number
1336694546
Entity Type
Organization
Organization Name
Country Pines Memory Care, LLC
Primary Specialty
Alzheimer Center (Dementia Center)
Enumeration Date
Aug 17, 2016
Last Updated
Aug 17, 2016

Practice Location

Address
1748 W 1800 N
State
Utah
ZIP Code
84015-8324
Phone
(801) 774-9198

Authorized Official

Name
PATRICIA E LEAVITT
Title
EXECUTIVE DIRECTOR
Phone
(801) 425-3271

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)

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