Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Martha Lake Adult Family Home

Organization Adult Care Home Facility · NPI 1609788892

Martha Lake Adult Family Home is an Adult Care Home Facility in Lynnwood, Washington. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

809 167th Pl SW
Lynnwood, WA 98037-8195
Phone: (206) 708-5114
Fax: (425) 835-8614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X

Record details

NPI number1609788892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eskadar Gemetyllew — Provider/Owner · (206) 708-5114
NPI enumeratedSeptember 21, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 21, 2026
Mailing address809 167th Pl Sw, Lynnwood, WA 98037-8195

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