| NPI | 1033752993 |
|---|---|
| Doing Business As | FIVE STAR ELITE TRANSPORTATION LLC |
| Entity Type | Organization |
| Authorized Contact | DERRICK DWAYNE BLACK CEO/Owner 318-505-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2020-06-03 |