# GOLDEN COTTAGE AFH. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467892117
- **Authorized official:** ANGELA STELA CIORBA (OWNER)
- **Authorized official phone:** (425) 821-9170

## Contact information

- **Practice address:** 13809 125TH AVE NE, KIRKLAND, WA 98034-2259
- **Practice address phone:** (425) 821-9170
- **Practice address fax:** (425) 821-0830
- **Mailing address:** 13809 125TH AVE NE, KIRKLAND, WA 98034-2259
- **Mailing address phone:** (425) 821-9170
- **Mailing address fax:** (425) 821-0830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 611500 | WA | Yes |

## Other

- **Enumeration date:** 06/26/2013
- **Last updated:** 06/26/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 714381 | PAYEE NUMBER | WA |