Organization
MIRABELLA
Active
Other names
Mirabella Seattle
Organization subpart
No
Provider details
NPI number
Authorized official
KY MOODY (EXECUTIVE DIRECTOR)
(206) 291-6103
Entity
Organization
Contact information
Practice address
116 FAIRVIEW AVE N, SEATTLE, WA 98109-5360
(206) 254-1400
Mailing address
116 FAIRVIEW AVE N, SEATTLE, WA 98109-5360
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1501
NURSING HOME LICENSE
WA
Enumeration date
09/11/2008
Last updated
12/11/2025
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