# GOLDEN PARK LANE AFH, LLC

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

## Provider details

- **NPI number:** 1528785581
- **Authorized official:** JEAN MUGURE KAMAU (OWNER)
- **Authorized official phone:** (763) 221-6964

## Contact information

- **Practice address:** 34628 14TH PL SW, FEDERAL WAY, WA 98023-7038
- **Practice address phone:** (763) 221-6964
- **Practice address fax:** (253) 344-1464
- **Mailing address:** 34628 14TH PL SW, FEDERAL WAY, WA 98023-7038
- **Mailing address phone:** (763) 221-6964
- **Mailing address fax:** (253) 344-1464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2022
- **Last updated:** 10/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 311ZA0620X | — | WA |