Healthcare Provider Details

I. General information

NPI: 1932095676
Provider Name (Legal Business Name): SAL RED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 E OVATION PL
WASHINGTON UT
84780-2759
US

IV. Provider business mailing address

1525 E OVATION PL
WASHINGTON UT
84780-2759
US

V. Phone/Fax

Practice location:
  • Phone: 801-771-9099
  • Fax: 888-859-5658
Mailing address:
  • Phone: 801-771-9099
  • Fax: 888-859-5658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PATRIC BRADY HESS
Title or Position: TREASURER
Credential:
Phone: 801-644-5121