| NPI | 1336694546 |
|---|---|
| Doing Business As | COUNTRY PINES MEMORY CARE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA E LEAVITT Executive Director 801-425-3271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: UT 12-2014-509) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |