# SPECIAL LIVES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558845271
- **Authorized official:** DANA MARIE PLANZ MSED (DIRECTOR)
- **Authorized official phone:** (631) 820-1984

## Contact information

- **Practice address:** 15 SHEARWATER WAY, CENTEREACH, NY 11720-4313
- **Practice address phone:** (631) 820-1984
- **Mailing address:** 15 SHEARWATER WAY, CENTEREACH, NY 11720-4313
- **Mailing address phone:** (631) 820-1984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2018
- **Last updated:** 09/18/2018