# SEQUIM REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avamere Olympic Rehabilitation of Sequim
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538146378
- **Authorized official:** MARY E. KOFSTAD (CEO)
- **Authorized official phone:** (971) 224-2033

## Contact information

- **Practice address:** 1000 S 5TH AVE, SEQUIM, WA 98382-3944
- **Practice address phone:** (360) 582-3900
- **Practice address fax:** (360) 582-3903
- **Mailing address:** 1000 S 5TH AVE, SEQUIM, WA 98382-3944
- **Mailing address phone:** (360) 582-3900
- **Mailing address fax:** (360) 582-3903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1374 | WA | Yes |

## Other

- **Enumeration date:** 12/22/2005
- **Last updated:** 02/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4113742 | — | WA |