Provider Demographics
NPI:1154989846
Name:RESOLUTE GROUP INCORPORATED
Entity type:Organization
Organization Name:RESOLUTE GROUP INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-523-0122
Mailing Address - Street 1:9533 S 700 E STE 204
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-3456
Mailing Address - Country:US
Mailing Address - Phone:801-572-2030
Mailing Address - Fax:385-695-3288
Practice Address - Street 1:9533 S 700 E STE 204
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-3456
Practice Address - Country:US
Practice Address - Phone:801-572-2030
Practice Address - Fax:385-695-3288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care