# GOLDEN PARK LANE AFH, LLC

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

## Provider details

- **NPI number:** 1760311005
- **Authorized official:** MARTIN GITAU (MANAGER)
- **Authorized official phone:** (763) 291-2694

## Contact information

- **Practice address:** 34628 14TH PL SW, FEDERAL WAY, WA 98023-7038
- **Practice address phone:** (763) 291-2694
- **Mailing address:** 34628 14TH PL SW, FEDERAL WAY, WA 98023-7038

## Taxonomy

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

## Other

- **Enumeration date:** 05/14/2026
- **Last updated:** 05/14/2026