# MIRABELLA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mirabella Seattle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679722805
- **Authorized official:** ALICE BOUMAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (206) 254-1414

## Contact information

- **Practice address:** 116 FAIRVIEW AVE N, SEATTLE, WA 98109-5360
- **Practice address phone:** (206) 254-1400
- **Mailing address:** 116 FAIRVIEW AVE N, SEATTLE, WA 98109-5360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 08/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1501 | NURSING HOME LICENSE | WA |