Provider Demographics
NPI:1326852658
Name:SPECIALIZED SENIOR CARE INC
Entity type:Organization
Organization Name:SPECIALIZED SENIOR CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:STAHL
Authorized Official - Suffix:
Authorized Official - Credentials:OTA
Authorized Official - Phone:352-460-2091
Mailing Address - Street 1:33405 WESLEY RD
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32736-7227
Mailing Address - Country:US
Mailing Address - Phone:352-460-2091
Mailing Address - Fax:352-729-2284
Practice Address - Street 1:33405 WESLEY RD
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32736-7227
Practice Address - Country:US
Practice Address - Phone:352-460-2091
Practice Address - Fax:352-729-2284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health