Organization
ONE LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATINA BRUCE (PROGRAM DIRECTOR)
(502) 395-8758
Entity
Organization
Contact information
Practice address
138 HILLVIEW CT, FRANKFORT, KY 40601-3642
(502) 395-8758
Mailing address
138 HILLVIEW CT, FRANKFORT, KY 40601-3642
(502) 395-8758
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/15/2013
Last updated
05/14/2013
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