Brightwater Retirement, Llc

NPI 1043529795 - Home Health - 251E00000X

NPI Details
NPI 1043529795
Enumeration Date 09/29/2010
Last Updated 09/29/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name DONALD L DONALD
Position MANAGER
Phone (843) 903-8300
Fax (843) 236-1644
Practice Location
101 BRIGHTWATER DR
MYRTLE BEACH SC, 29579-8275, US
Phone (843) 903-8300
Fax (843) 236-1644
Business Location
101 BRIGHTWATER DR
MYRTLE BEACH SC, 29579-8275, US
Phone (843) 903-8300
Fax (843) 236-1644
Toxanomy
Taxonomy Code 251E00000X
License State South Carolina
License Number HHA-0206
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According to our database, Brightwater Retirement, Llc NPI is 1043529795, taxonomy code is 251E00000X and license number is HHA-0206, license state is located at South Carolina. Brightwater Retirement, Llc physically located at 101 Brightwater Dr, Myrtle Beach SC, 29579-8275. NPI Number 1033115704 has the healthcare provider type.

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1043529795 NPI number is provided on an as is basis without warranty of any kind. 1043529795 is maintained by the National Plan & Provider Enumeration System. The contents of Brightwater Retirement, Llc are for informational purposes only.