Five Star Elite Transportation Services LLC

NPI #1053936450 in Shreveport, Louisiana

Provider Information

NPI Number
1053936450
Entity Type
Organization
Organization Name
Five Star Elite Transportation Services LLC
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Jun 11, 2020
Last Updated
Jun 11, 2020

Practice Location

Address
9051 MANSFIELD RD STE E3
ZIP Code
71118-2680
Phone
(318) 425-9086

Authorized Official

Name
MR. DERRICK DWAYNE BLACK
Title
OWNER/CEO
Phone
(318) 455-3433

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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