NPI 1720401508

Imba LLC

Organisation Adult Care Home Facility Shoreline, WA

Practice location

Address: 19511 23 Rd Ave NW, Shoreline, WA 98177-2566
Phone: (206) 697-5557
Fax: (206) 629-5544
Mailing address: PO Box 2566, Kirkland, WA 98083-2566

Authorised official

Name: Ioana Raluca Boanca
Title: Provider
Phone: (206) 697-5557

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 752552 (WA)

Other Custodial Care Facility providers in Washington →

Registry record

NPI: 1720401508
Entity type: Organization
NPI issued: 29 Jan 2014
Record last updated: 29 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.