Organization
ONE LIFE TECH
Active
Organization
ONE LIFE TECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY J. PUGH (OWNER)
(931) 787-3702
Entity
Organization
Contact information
Practice address
190 REED RD, CROSSVILLE, TN 38572-1347
(931) 787-3702
Mailing address
190 REED RD, CROSSVILLE, TN 38572-1347
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
TN
251S00000X
Community/Behavioral Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
TN
376J00000X
Homemaker
—
TN
376K00000X
Nurse's Aide
—
TN
Other
Enumeration date
01/30/2018
Last updated
11/15/2018
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