Provider Demographics
NPI:1093487597
Name:ARIONYX LLC
Entity Type:Organization
Organization Name:ARIONYX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ISABELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:727-708-6993
Mailing Address - Street 1:1801 9TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-2305
Mailing Address - Country:US
Mailing Address - Phone:727-608-6993
Mailing Address - Fax:
Practice Address - Street 1:4731 14TH AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-2321
Practice Address - Country:US
Practice Address - Phone:727-608-6993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-02
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services