Provider Demographics
NPI:1235136136
Name:SALT LAKE COUNTY
Entity Type:Organization
Organization Name:SALT LAKE COUNTY
Other - Org Name:AGING SERVICES HEALTHY AGING PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:AGING SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHAUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-468-2760
Mailing Address - Street 1:2001 S STATE ST
Mailing Address - Street 2:S1500
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84190-0001
Mailing Address - Country:US
Mailing Address - Phone:801-468-2473
Mailing Address - Fax:801-468-2838
Practice Address - Street 1:2001 S STATE ST
Practice Address - Street 2:S1500
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84190-0001
Practice Address - Country:US
Practice Address - Phone:801-468-2473
Practice Address - Fax:801-468-2838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare