Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leroy Bibbs Jr., MASTERSDEGREEHUMA

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1093393621

Leroy Bibbs Jr., MASTERSDEGREEHUMA is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Columbia, South Carolina. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2021

Practice location Address checks out

203 Long Ridge Dr
Columbia, SC 29229-9284
Phone: (215) 266-8158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 27-0843094 (PA)

Record details

NPI number1093393621
Entity typeIndividual (Type 1)
GenderMale
Credentials MASTERSDEGREEHUMA
Sole proprietorYes
NPI enumeratedApril 2, 2021
Last updated in NPPESApril 2, 2021
Certification dateJanuary 19, 2021

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