LEROY BIBBS MASTER'S DEGREE HUMA NPI 1093393621

NPI Information

Leroy Bibbs, MASTER'S DEGREE HUMA is a residential treatment facility, intellectual and/or developmental disabilities in Columbia, SC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. Leroy Bibbs, MASTER'S DEGREE HUMA NPI is 1093393621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

203 LONG RIDGE DR
COLUMBIA, SC
ZIP 29229-284
Phone: (215) 266-8158

The enumeration date for this NPI number is 4/2/2021 and was last updated on 4/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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