Individual provider · Type 1 NPI
Efrem T. Kidane
Adult Care Home Facility · Marysville, WA
NPI number
1255293429
Active
Practice location
4914 61st Dr NE
Marysville, WA 98270-7552
Fax (360) 517-7808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 758138 (WA) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Marysville
About NPI 1255293429
Efrem T. Kidane's National Provider Identifier is 1255293429, issued on Nov 26, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Marysville, WA. The record was last updated on Nov 26, 2025.