Imba LLC

NPI #1720401508 in Shoreline, Washington

Provider Information

NPI Number
1720401508
Entity Type
Organization
Organization Name
Imba LLC
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Jan 29, 2014
Last Updated
Jan 29, 2014

Practice Location

Address
19511 23 RD AVE NW
ZIP Code
98177-2566
Phone
(206) 697-5557

Authorized Official

Name
MRS. IOANA RALUCA BOANCA, CNA
Title
PROVIDER
Phone
(206) 697-5557

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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