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General NPI Number Information
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NPI Number | 1336056910
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Entity Type | Organization
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Legal Business Name | BRIGHTHARBOR HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 325 W CALHOUN ST
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City | SUMTER
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State | SC
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Zip | 29150-4511
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Country | US
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Telephone | 706-594-1067
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Fax |
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Provider Business Mailing Address
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Address Line | 103 HUNTERS RDG
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City | LAGRANGE
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State | GA
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Zip | 30240-9746
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Country | US
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Telephone | 706-594-1067
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CARL VINCENT CROFT
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Credential |
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Telephone | 706-594-1067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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