Healthcare Provider Details

I. General information

NPI: 1922345701
Provider Name (Legal Business Name): SPECIAL NEEDS INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2013
Last Update Date: 01/12/2024
Certification Date: 01/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W LAKE LANSING RD STE 200
EAST LANSING MI
48823-8661
US

IV. Provider business mailing address

PO BOX 4
WAYNE MI
48184-0004
US

V. Phone/Fax

Practice location:
  • Phone: 734-262-1997
  • Fax: 313-397-2900
Mailing address:
  • Phone: 734-262-1997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHERON B. SALMAN
Title or Position: PRESIDENT
Credential: MPA, BBA
Phone: 734-262-1997