Organization
ONE LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNESHA WALKER CAREGIVER (OWNER)
(615) 647-7018
Entity
Organization
Contact information
Practice address
801 E OLD HICKORY BLVD STE 130, MADISON, TN 37115-4117
(615) 647-7018
(615) 647-7019
Mailing address
801 E OLD HICKORY BLVD STE 130, MADISON, TN 37115-4117
(615) 647-7018
(615) 647-7019
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
347E00000X
Transportation Broker
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/02/2019
Last updated
10/31/2023
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