JAVIER PARRA

PHOENIX, AZ
NPI1073788279
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: AZ  PENDING)
Enumeration Date2008-04-29
Last Update Date2008-04-29
Business Address
JAVIER PARRA
3202 W FOLGERS RD
PHOENIX, AZ 85027-7004
Phone number: 623-492-0790
Mailing Address
JAVIER PARRA
8311 S 141ST AVE
GOODYEAR, AZ 85338-9250
Phone number: 623-492-0790