# GENCASCO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bishopville Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669784526
- **Authorized official:** MRS. CASSIE TIMMONS JONES (ADMINISTRATION)
- **Authorized official phone:** (803) 428-2222

## Contact information

- **Practice address:** 2779 HIGHWAY 15 N, BISHOPVILLE, SC 29010-7101
- **Practice address phone:** (803) 428-2222
- **Practice address fax:** (803) 428-2333
- **Mailing address:** 2779 HIGHWAY 15 N, BISHOPVILLE, SC 29010-7101
- **Mailing address phone:** (803) 428-2222
- **Mailing address fax:** (803) 428-2333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | RC1108 | SC | Yes |

## Other

- **Enumeration date:** 07/08/2010
- **Last updated:** 07/08/2010