Organization
FIVE STAR VAN TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUELL J AUGUST (OWNER)
(504) 635-9696
Entity
Organization
Contact information
Practice address
5761 WILTON DR, NEW ORLEANS, LA 70122-3435
(504) 635-9696
Mailing address
1827 INDUSTRY ST, NEW ORLEANS, LA 70119-1119
(504) 635-9696
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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