Provider Demographics
NPI:1225801491
Name:FIRST CLASS EXQUISITE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:FIRST CLASS EXQUISITE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-637-4878
Mailing Address - Street 1:1333 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-3615
Mailing Address - Country:US
Mailing Address - Phone:985-637-4878
Mailing Address - Fax:
Practice Address - Street 1:4266 W MAIN ST STE 401
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:LA
Practice Address - Zip Code:70359-6421
Practice Address - Country:US
Practice Address - Phone:985-637-4878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)