Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Country Pines Phase II Lc

Organization Assisted Living Facility · NPI 1104037563

Country Pines Phase II Lc is an Assisted Living Facility in Clinton, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007

Practice location Address checks out

1706 W 1800 N
Clinton, UT 84015-8324
Phone: (801) 773-0990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 006871 (UT)

Record details

NPI number1104037563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Myrna McClellan — Administrator · (801) 773-0990
NPI enumeratedMay 25, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1706 W 1800 N, Clinton, UT 84015-8324

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