Organization
CONSUMER DIRECT FOR TENNESSEE, LLC
Active
Other names
Consumer Direct Care Network Tennessee
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY STEPHENS JD (LEGAL MANAGER)
(406) 532-2926
Entity
Organization
Contact information
Practice address
2 VANTAGE WAY, THE IVY, NASHVILLE, TN 37228
(406) 532-1900
Mailing address
100 CONSUMER DIRECT WAY, MISSOULA, MT 59808-5037
(406) 532-1900
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/20/2012
Last updated
07/18/2023
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