# WAATU, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Juan Rehabilitation and Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740729987
- **Authorized official:** DAVID KIEFER (VP CFO)
- **Authorized official phone:** (360) 293-3174

## Contact information

- **Practice address:** 911 21ST ST, ANACORTES, WA 98221-2513
- **Practice address phone:** (360) 293-7222
- **Practice address fax:** (360) 293-7281
- **Mailing address:** 1105 27TH ST, ANACORTES, WA 98221-2710
- **Mailing address phone:** (360) 293-3174
- **Mailing address fax:** (360) 293-4418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1313 | WA | Yes |

## Other

- **Enumeration date:** 02/21/2017
- **Last updated:** 02/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4113130 | — | WA |