MS. Lydia Hodge, CEO/PRESIDENT
MS. Lydia Hodge, CEO/PRESIDENT is a Developmentally Disabled Services Day Training Agency in Cordova, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.
- Licensed in
- TN
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
8245 Cordova Rd Ste 1018245Cordova, TN 38016-2086
Phone: (190) 138-4139
Fax: (901) 384-1395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence L000000021903 (TN) |
|---|---|
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X · Licence L000000012725 (TN) |
| In Home Supportive Care Agency | Taxonomy 253Z00000X · Licence L000000013596 (TN) |
Record details
| NPI number | 1851762819 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CEO/PRESIDENT |
| Sole proprietor | Yes |
| NPI enumerated | October 15, 2015 |
| Last updated in NPPES | November 6, 2023 |
| Certification date | November 6, 2023 |
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