# BELLA VISTA CONTINUED CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356983027
- **Authorized official:** GWENDOLYN ELAINE PETERSON (PRESIDENT)
- **Authorized official phone:** (803) 206-3098

## Contact information

- **Practice address:** 1435 BELLA VISTA DR, COLUMBIA, SC 29223-7201
- **Practice address phone:** (803) 206-3098
- **Mailing address:** 1535 PLATT SPRINGS ROAD \#4283, WEST COLUMBIA, SC 29171
- **Mailing address phone:** (803) 206-3098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/14/2019
- **Last updated:** 10/14/2019