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Organization
DIRECT CARE TRANSPORT LLC
Active
Organization
DIRECT CARE TRANSPORT LLC
Active
Other names
Direct Care Transport LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHEM HODGES (MANAGING DIRECTOR)
(901) 549-3655
Entity
Organization
Contact information
Practice address
1594 STABLE PARK CT, CORDOVA, TN 38016-6193
(901) 549-3655
Mailing address
1594 STABLE PARK CT, CORDOVA, TN 38016-6193
(901) 549-3655
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NULL
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q068754
—
TN
Enumeration date
09/01/2021
Last updated
11/22/2021
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