Organization
SPECIALIZED SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY DIEHM (OWNER/MEMBER)
(920) 743-8316
Entity
Organization
Contact information
Practice address
185 E WALNUT ST, STURGEON BAY, WI 54235-3900
(920) 743-8316
Mailing address
185 E WALNUT ST, STURGEON BAY, WI 54235-3900
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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