# IMBA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Water View Adult Family Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720401508
- **Authorized official:** MRS. IOANA RALUCA BOANCA CNA (PROVIDER)
- **Authorized official phone:** (206) 697-5557

## Contact information

- **Practice address:** 19511 23 RD AVE NW, SHORELINE, WA 98177-2566
- **Practice address phone:** (206) 697-5557
- **Practice address fax:** (206) 629-5544
- **Mailing address:** PO BOX 2566, KIRKLAND, WA 98083-2566
- **Mailing address phone:** (206) 697-5557
- **Mailing address fax:** (206) 629-5544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 752552 | WA | Yes |

## Other

- **Enumeration date:** 01/29/2014
- **Last updated:** 01/29/2014