NPI 1407090434

Brightwater Retirement, LLC

Organisation Skilled Nursing Facility Myrtle Beach, SC

Practice location

Address: 101 Brightwater Dr, Myrtle Beach, SC 29579-8268
Phone: (843) 903-8300
Fax: (843) 236-1644

Authorised official

Name: Gary Ventola
Title: Sr. Vp of Administration
Phone: (704) 246-1610

Registered specialties (3)

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NCF-0955 (SC)

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Home Health Agency

Agencies Taxonomy 251E00000X

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Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence CRC-1489 (SC)

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Registry record

NPI: 1407090434
Entity type: Organization
NPI issued: 21 Apr 2009
Record last updated: 14 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.