# SPECIALIZED HEALTHCARE SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Specialized Healthcare Services LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679091458
- **Authorized official:** MRS. JOHNETTE DIVERS (CONTRACTS ADMINISTRATOR)
- **Authorized official phone:** (404) 604-5691

## Contact information

- **Practice address:** 2920 TOBACCO ROAD, SUIT A, HEPHZIBAH, GA 30815
- **Practice address phone:** (770) 365-0578
- **Mailing address:** 2920 TOBACCO RD STE A, HEPHZIBAH, GA 30815-9012
- **Mailing address phone:** (770) 365-0578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 033-R-1448 | GA | Yes |

## Other

- **Enumeration date:** 08/31/2017
- **Last updated:** 07/21/2022