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Organization

ELLAS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICK AERAKIS DC (OWNER)
(801) 554-9868
Entity
Organization

Contact information

Practice address
3520 S HIGHLAND DR, SALT LAKE CITY, UT 84106-3211
(801) 484-7638
Mailing address
3520 S HIGHLAND DR, SALT LAKE CITY, UT 84106-3211
(801) 484-7638

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary

Other

Enumeration date
10/01/2013
Last updated
10/01/2013
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