# DIRECT CARE TRANSPORT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Direct Care Transport LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629746011
- **Authorized official:** MR. CHEM HODGES (MANAGING DIRECTOR)
- **Authorized official phone:** (901) 549-3655

## Contact information

- **Practice address:** 1594 STABLE PARK CT, CORDOVA, TN 38016-6193
- **Practice address phone:** (901) 549-3655
- **Mailing address:** 1594 STABLE PARK CT, CORDOVA, TN 38016-6193
- **Mailing address phone:** (901) 549-3655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172A00000X | Driver | — | NULL | Yes |
| 172A00000X | Driver | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2021
- **Last updated:** 11/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | Q068754 | — | TN |