Organization
FIVE STAR MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAJI ABDELSALAM (OWNER)
(318) 443-5770
Entity
Organization
Contact information
Practice address
2313 BROADWAY AVE, ALEXANDRIA, LA 71302-4826
(318) 443-5770
Mailing address
2313 BROADWAY AVE, ALEXANDRIA, LA 71302-4826
(318) 443-5770
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008205125
DRIVER'S LICENSE NUMBER
LA
Enumeration date
01/22/2015
Last updated
02/18/2015
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