Provider Demographics
NPI:1861360232
Name:SPECIALIZED SUPPORTS AND SERVICES, INC.
Entity type:Organization
Organization Name:SPECIALIZED SUPPORTS AND SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-556-5052
Mailing Address - Street 1:331 SPRUCE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-2821
Mailing Address - Country:US
Mailing Address - Phone:850-556-5052
Mailing Address - Fax:850-521-0244
Practice Address - Street 1:1788 THOMASVILLE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-5708
Practice Address - Country:US
Practice Address - Phone:850-521-0255
Practice Address - Fax:850-521-0244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services