Organization
SEQUIM REHABILITATION LLC
Active
Other names
Avamere Olympic Rehabilitation of Sequim
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E. KOFSTAD (CEO)
(971) 224-2033
Entity
Organization
Contact information
Practice address
1000 S 5TH AVE, SEQUIM, WA 98382-3944
(360) 582-3900
(360) 582-3903
Mailing address
1000 S 5TH AVE, SEQUIM, WA 98382-3944
(360) 582-3900
(360) 582-3903
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1374
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113742
—
WA
Enumeration date
12/22/2005
Last updated
02/17/2025
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