# GIFTED LIFE ON WHEELS

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

## Provider details

- **NPI number:** 1790570091
- **Authorized official:** SHAVONNE LONEY (ORGANIZER)
- **Authorized official phone:** (914) 843-4286

## Contact information

- **Practice address:** 150 LAKE ST APT 1E, WHITE PLAINS, NY 10604-2468
- **Practice address phone:** (914) 843-4296
- **Practice address fax:** (914) 843-4296
- **Mailing address:** 150 LAKE ST APT 1E, WHITE PLAINS, NY 10604-2468
- **Mailing address phone:** (914) 843-4296
- **Mailing address fax:** (914) 843-4296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172A00000X | Driver | — | NULL | Yes |
| 172A00000X | Driver | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2025
- **Last updated:** 04/09/2025