Provider Demographics
NPI:1114440542
Name:1 AND ONLY LLC
Entity Type:Organization
Organization Name:1 AND ONLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANULI
Authorized Official - Middle Name:
Authorized Official - Last Name:BENIDZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-317-8330
Mailing Address - Street 1:102 W BUTLER AVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5108
Mailing Address - Country:US
Mailing Address - Phone:267-317-8330
Mailing Address - Fax:267-200-0597
Practice Address - Street 1:102 W BUTLER AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901
Practice Address - Country:US
Practice Address - Phone:267-317-8330
Practice Address - Fax:267-200-0597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-18
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management