Provider Demographics
NPI:1932095676
Name:SAL RED
Entity type:Organization
Organization Name:SAL RED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:PATRIC
Authorized Official - Middle Name:BRADY
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-644-5121
Mailing Address - Street 1:1525 E OVATION PL
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-2759
Mailing Address - Country:US
Mailing Address - Phone:801-771-9099
Mailing Address - Fax:888-859-5658
Practice Address - Street 1:1525 E OVATION PL
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:UT
Practice Address - Zip Code:84780-2759
Practice Address - Country:US
Practice Address - Phone:801-771-9099
Practice Address - Fax:888-859-5658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health