Individual provider · Type 1 NPI

Expery Kimaryo

Adult Care Home Facility · Lakewood, WA

NPI number 1821977398 Active

Practice location

7601 Emerald Dr SW
Lakewood, WA 98498-6231

Call (605) 469-5312 Map

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 1821977398

Expery Kimaryo's National Provider Identifier is 1821977398, issued on Aug 29, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lakewood, WA. The record was last updated on Aug 29, 2025.