Organization · Type 2 NPI

Martha Lake Adult Family Home

Adult Care Home Facility · Lynnwood, WA

NPI number 1609788892 Active

Practice location

809 167th Pl SW
Lynnwood, WA 98037-8195

Call (206) 708-5114 Map

Fax (425) 835-8614

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

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.

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About NPI 1609788892

Martha Lake Adult Family Home's National Provider Identifier is 1609788892, issued on Sep 21, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lynnwood, WA. The record was last updated on Sep 21, 2026.