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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