Organization
IMBA LLC
Active
Other names
A Water View Adult Family Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IOANA RALUCA BOANCA CNA (PROVIDER)
(206) 697-5557
Entity
Organization
Contact information
Practice address
19511 23 RD AVE NW, SHORELINE, WA 98177-2566
(206) 697-5557
(206) 629-5544
Mailing address
PO BOX 2566, KIRKLAND, WA 98083-2566
(206) 697-5557
(206) 629-5544
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
752552
WA
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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