COUNTRY PINES RETIREMENT HOME
Nursing at 1800, Clearfield, UT

License number
Utah 2006-AL1-540
Category
Nursing
Type
Assisted Living Facility
Owner
Name: SARAH PETERSEN R.N.
Title: DIRECTOR OF NURSING
Phone: (801) 773-1649
Address
Address
1748 W 1800 N, Clearfield, UT 84015
National Provider ID: 1992866024
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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COUNTRY PINES RETIREMENT HOME

Clearfield, UT

Status:
Inactive
Industry:
Residential Care Services, Residential Care
Registration:
Feb 21, 1992
Phone:
(801) 773-1649 (Phone), (801) 773-0990 (Phone)
Addresses:
1748 W 1800 N, Clearfield, UT 84015 (Physical)
1706 W 1800 N, Clearfield, UT 84015
State ID:
2248638-0151
Business type:
DBA
General Managers:
Corey Erickson (Owner),Sarah Petersen (Nursing Director),Corey Ericksen (Owner),...
SIC:
8361 - Residential Care
Company size:
49

Nursing licenses in Utah