| NPI | 1407090434 |
|---|---|
| Other Name | BRIGHTWATER |
| Entity Type | Organization |
| Authorized Contact | GARY VENTOLA Sr. VP Of Administration 704-246-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC NCF-0955) |
| Additional Taxonomies | 251E00000X Home Health |
| 310400000X Assisted Living Facility (Licence: SC CRC-1489) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2016-01-14 |