Organization
FSET LLC
Active
Other names
Five Star Elite Transportation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK DWAYNE BLACK (CEO/OWNER)
(318) 505-9505
Entity
Organization
Contact information
Practice address
9051 MANSFIELD RD STE E3, SHREVEPORT, LA 71118-2680
(318) 701-8216
(318) 716-3378
Mailing address
9051 MANSFIELD RD STE E3, SHREVEPORT, LA 71118-2680
(318) 505-9505
(318) 716-3378
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053817163
—
LA
Enumeration date
10/23/2019
Last updated
06/03/2020
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