Organization
FIVE STAR ELITE HOME HEALTH LLC
Active
Other names
FSET Home Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK DWAYNE BLACK (OWNER/CEO)
(318) 455-3433
Entity
Organization
Contact information
Practice address
9051 MANSFIELD RD STE E3, SHREVEPORT, LA 71118-2680
(318) 505-9505
(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
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/04/2020
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