Provider Demographics
NPI:1821366022
Name:LOGISTIC SOLUTIONS
Entity Type:Organization
Organization Name:LOGISTIC SOLUTIONS
Other - Org Name:ALPHA GROUP HOLDINGS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DREXEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-234-8965
Mailing Address - Street 1:PO BOX 15074
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33318-5074
Mailing Address - Country:US
Mailing Address - Phone:954-234-8965
Mailing Address - Fax:754-223-7258
Practice Address - Street 1:4170 SW 20TH ST
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33317-6707
Practice Address - Country:US
Practice Address - Phone:954-234-8965
Practice Address - Fax:754-223-7258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLL1144343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)