NPI 1336694546

Country Pines Memory Care, LLC

Organisation Alzheimer Center (Dementia Center) Clinton, UT

Practice location

Address: 1748 W 1800 N, Clinton, UT 84015-8324
Phone: (801) 774-9198
Fax: (801) 825-3752

Authorised official

Name: Patricia E Leavitt
Title: Executive Director
Phone: (801) 425-3271

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 12-2014-509 (UT)

Other Alzheimer Center (Dementia Center) providers in Utah →

Registry record

NPI: 1336694546
Entity type: Organization
NPI issued: 17 Aug 2016
Record last updated: 17 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.