Provider Demographics
NPI:1619229325
Name:LOGISTICARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:LOGISTICARE SOLUTIONS, LLC
Other - Org Name:OKLAHOMA FEE FOR SERVICE BILLING
Other - Org Type:Other Name
Authorized Official - Title/Position:CORPORATE PARALEGAL
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BABIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-888-5800
Mailing Address - Street 1:1275 PEACHTREE ST NE FL 6
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3580
Mailing Address - Country:US
Mailing Address - Phone:404-888-5800
Mailing Address - Fax:877-352-5640
Practice Address - Street 1:4149 HIGHLINE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73108-2103
Practice Address - Country:US
Practice Address - Phone:800-243-5560
Practice Address - Fax:866-355-7340
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROVIDENCE SERVICE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker