# LOGISTICS HEALTH INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043668775
- **Authorized official:** MRS. STACEY SANTIAGO (NP)
- **Authorized official phone:** (256) 508-9034

## Contact information

- **Practice address:** 4201 NORTHVIEW DR STE 410, BOWIE, MD 20716-2668
- **Practice address phone:** (240) 644-5570
- **Mailing address:** 12 INDIAN GRASS CT, GERMANTOWN, MD 20874-2930
- **Mailing address phone:** (240) 644-5570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | R 187467 | MD | Yes |

## Other

- **Enumeration date:** 06/03/2016
- **Last updated:** 06/03/2016