Organization
SPECIAL LIVES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA MARIE PLANZ MSED (DIRECTOR)
(631) 820-1984
Entity
Organization
Contact information
Practice address
15 SHEARWATER WAY, CENTEREACH, NY 11720-4313
(631) 820-1984
Mailing address
15 SHEARWATER WAY, CENTEREACH, NY 11720-4313
(631) 820-1984
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952664765
SPECIAL EDUCATOR
NY
Enumeration date
09/18/2018
Last updated
09/18/2018
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