# HOQUIAM HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Care and Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902892615
- **Authorized official:** MRS. SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 3035 CHERRY ST, HOQUIAM, WA 98550-3007
- **Practice address phone:** (360) 532-7882
- **Practice address fax:** (360) 537-7216
- **Mailing address:** 3035 CHERRY ST, HOQUIAM, WA 98550-3007
- **Mailing address phone:** (360) 532-7882
- **Mailing address fax:** (360) 537-7216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1347 | WA | Yes |

## Other

- **Enumeration date:** 09/27/2005
- **Last updated:** 03/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4113965 | — | WA |