Individual provider · Type 1 NPI
Troy Gibson
Adult Care Home Facility · Myrtle Beach, SC
NPI number
1740190891
Active
Practice location
243 Empyrean Cir
Myrtle Beach, SC 29588-3002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1740190891
Troy Gibson's National Provider Identifier is 1740190891, issued on Sep 10, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Myrtle Beach, SC. The record was last updated on Sep 10, 2026.