Provider Demographics
NPI:1023389731
Name:ROSALINDA PARRA
Entity Type:Organization
Organization Name:ROSALINDA PARRA
Other - Org Name:ROYAL VILLA ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-459-3409
Mailing Address - Street 1:1184 BOCA CHICA BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8307
Mailing Address - Country:US
Mailing Address - Phone:956-459-3409
Mailing Address - Fax:956-542-9166
Practice Address - Street 1:1184 BOCA CHICA BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8307
Practice Address - Country:US
Practice Address - Phone:956-459-3409
Practice Address - Fax:956-542-9166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX030317310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility