Individual provider · NPI-1
Sergio Antonio Arriola
Assisted Living Facility, Assisted Living, Mental Illness · El Paso, TX
NPI number1083365647
StatusActive
Last updated in NPPESJan 15, 2022
Details
- NPI
- 1083365647
- Entity type
- Individual (NPI-1)
- Name
- Sergio Antonio Arriola
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2022
- Certification date
- Jan 14, 2022
- Last updated
- Jan 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | – | – | Yes |
Practice location
2101 Ocean Side DrEl Paso, TX 79936-3652
Phone 915-315-1743
Mailing address
6836 Toluca DrEl Paso, TX 79912-1716
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