Individual provider · Type 1 NPI

Myong Lewis

Adult Care Home Facility · University Place, WA

NPI number 1639092836 Active

Practice location

4814 88th Avenue Ct W
University Place, WA 98467-1723

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 1639092836

Myong Lewis's National Provider Identifier is 1639092836, issued on Aug 3, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in University Place, WA. The record was last updated on Aug 3, 2026.