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Organization

GIFTED LIFE ON WHEELS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAVONNE LONEY (ORGANIZER)
(914) 843-4286
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
04/09/2025
Last updated
04/09/2025
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