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
—
—
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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