Provider Demographics
NPI:1407589625
Name:OTTO LOGISTICS LIMITED CO
Entity Type:Organization
Organization Name:OTTO LOGISTICS LIMITED CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MBR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTEN
Authorized Official - Middle Name:V
Authorized Official - Last Name:QUEZADA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-690-0810
Mailing Address - Street 1:2990 SARATOGA SKY WAY
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:GA
Mailing Address - Zip Code:30620-4753
Mailing Address - Country:US
Mailing Address - Phone:470-449-3437
Mailing Address - Fax:
Practice Address - Street 1:2990 SARATOGA SKY WAY
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:GA
Practice Address - Zip Code:30620-4753
Practice Address - Country:US
Practice Address - Phone:470-449-3437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-05
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)