Provider Demographics
NPI:1144616640
Name:ONEBUTTON1
Entity Type:Organization
Organization Name:ONEBUTTON1
Other - Org Name:ONEBUTTON1
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNIES-WESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-344-8849
Mailing Address - Street 1:3375 CENTERVILLE HWY UNIT 392624
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-0125
Mailing Address - Country:US
Mailing Address - Phone:404-797-8776
Mailing Address - Fax:404-601-4267
Practice Address - Street 1:4200 RIVERLAKE WAY
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30039-8722
Practice Address - Country:US
Practice Address - Phone:404-797-8776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-10
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2015011531332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals