Organization
SPECIALIZED HEALTHCARE SERVICES INC
Active
Other names
Specialized Healthcare Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHNETTE DIVERS (CONTRACTS ADMINISTRATOR)
(404) 604-5691
Entity
Organization
Contact information
Practice address
2920 TOBACCO ROAD, SUIT A, HEPHZIBAH, GA 30815
(770) 365-0578
Mailing address
2920 TOBACCO RD STE A, HEPHZIBAH, GA 30815-9012
(770) 365-0578
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
033-R-1448
GA
Other
Enumeration date
08/31/2017
Last updated
07/21/2022
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