Organization
GOLDEN COTTAGE AFH. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA STELA CIORBA (OWNER)
(425) 821-9170
Entity
Organization
Contact information
Practice address
13809 125TH AVE NE, KIRKLAND, WA 98034-2259
(425) 821-9170
(425) 821-0830
Mailing address
13809 125TH AVE NE, KIRKLAND, WA 98034-2259
(425) 821-9170
(425) 821-0830
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
611500
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
714381
PAYEE NUMBER
WA
Enumeration date
06/26/2013
Last updated
06/26/2013
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