Country Pines Phase Ii Lc in Clinton - Assisted Living Facility
Country Pines Phase Ii Lc - NPI 1104037563
Country Pines Phase Ii Lc is a Assisted Living Facility in Clinton, Utah. Country Pines Phase Ii Lc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Country Pines Phase Ii Lc is 1104037563. The last update date is 2020-08-22.
Country Pines Phase Ii Lc's current location address is 1706 W 1800 N, Clinton, Utah. You can contact this provider via phone number 8017730990. The mailing address for Country Pines Phase Ii Lc is 1706 W 1800 N, Clinton, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Country Pines Phase Ii Lc |
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Address | 1706 W 1800 N, Clinton, Utah |
Phone Number | 8017730990 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ADMINISTRA |
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Authorized Official Name | Mcclellan L Myrna |
Telephone Number | 8017730990 |
NPI Number Detail
NPI Number | 1104037563 |
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Provider Enumeration Date | 2007-05-25 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1706 W 1800 N |
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City | Clinton |
State | Utah (UT) |
Post Code | 840158324 |
Phone Number | 8017730990 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Assisted Living Facility |
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Taxonomy | 310400000X |
Licence No | 6871 |
Definition: 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. |
Post Comment/ Review Below
What is the unique identification code assigned to Country Pines Phase Ii Lc by the Centers for Medicare & Medicaid Services?
The Country Pines Phase Ii Lc has been issued the NPI (National Provider Identifier) 1104037563. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Country Pines Phase Ii Lc's facilities are situated?
The facilities of Country Pines Phase Ii Lc are physically located at the following address: 1706 W 1800 N, Clinton, UT, 840158324.
What is Country Pines Phase Ii Lc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Country Pines Phase Ii Lc is Assisted Living Facility, and the taxonomy classification code that categorizes this area of expertise is 310400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104037563 to Country Pines Phase Ii Lc?
The Centers for Medicare & Medicaid Services originally issued the 1104037563 to Country Pines Phase Ii Lc on 2007-05-25.
As of what date was the information pertaining to Country Pines Phase Ii Lc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Country Pines Phase Ii Lc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.