# BISHOPVILLE MANOR MANAGEMENT GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114616091
- **Authorized official:** ANWAR HOWARD (MANAGER)
- **Authorized official phone:** (347) 739-4835

## Contact information

- **Practice address:** 2779 HIGHWAY 15 N, BISHOPVILLE, SC 29010-7101
- **Practice address phone:** (803) 428-2222
- **Mailing address:** 1910 DALTON ST, N CHARLESTON, SC 29406-3961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2023
- **Last updated:** 05/05/2023