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General NPI Number Information
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NPI Number | 1619861473
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Entity Type | Organization
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Legal Business Name | ONELIFE WELLNESS LLC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 17838 E BEAR WALLOW WAY
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City | RIO VERDE
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State | AZ
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Zip | 85263-5376
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Country | US
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Telephone | 480-269-4069
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 28576
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-0159
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Country | US
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Telephone | 480-231-0938
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KATHRYN BLACKWELL
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Credential |
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Telephone | 480-231-0938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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