MEDICARE: HABIB LOGISTICS & TRANSPORTATION, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1881345015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HABIB LOGISTICS & TRANSPORTATION, LLC

Provider Business Mailing Address
First Line	:	575 PHARR RD NE UNIT 550824
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30355-5032
Country	:	US
Telephone Number	:	615-339-3530
Fax Number	:

Provider Business Practice Location Address
First Line	:	2761 ZANE GREY DRIVE SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316
Country	:	US
Telephone Number	:	615-339-3530
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZEYNEBA HABIB
Credential	:
Telephone Number	:	615-339-3530

Provider Enumeration Date	:	01/10/2022
Last Update Date	:	01/10/2022

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