Daniel Edmund Banellis
Daniel Edmund Banellis is a Substance Abuse Rehabilitation Facility in Salt Lake City, Utah. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
411 Grant StSalt Lake City, UT 84116-2725
Phone: (801) 359-8862
Fax: (801) 359-8510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1194087015 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2012 |
| Last updated in NPPES | June 15, 2012 |
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