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Organization

GOLDEN PARK LANE AFH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTIN GITAU (MANAGER)
(763) 291-2694
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
05/14/2026
Last updated
05/14/2026
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