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Organization
BRIGHTWATER RETIREMENT, LLC
Active
Organization
BRIGHTWATER RETIREMENT, LLC
Active
Other names
Brightwater
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY VENTOLA (SR. VP OF ADMINISTRATION)
(704) 246-1610
Entity
Organization
Contact information
Practice address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8268
(843) 903-8300
(843) 236-1644
Mailing address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579-8268
(843) 903-8300
(843) 236-1644
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
CRC-1489
SC
314000000X
Skilled Nursing Facility
Primary
NCF-0955
SC
Other
Enumeration date
04/21/2009
Last updated
01/14/2016
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