OrganizationFuller Transportation LlcNon-emergency Medical Transport (VAN)Transportation ServicesPractice Address916 Francais Dr, Shreveport, LA 71118-4050(318) 572-6473PECOS EnrollmentBased on the most recent information from CMS, provider Fuller Transportation Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1124863808Provider TypeOrganizationFull NameFuller Transportation LlcSubpartNoEnumeration Date6/26/2024Last Updated6/26/2024Contact InformationPractice LocationPractice Address916 Francais Dr, Shreveport, LA 71118-4050Phone(318) 572-6473FaxUnlisted FaxMailing LocationMailing Address916 Francais Dr, Shreveport, LA 71118-4050Phone(318) 572-6473FaxUnlisted FaxAuthorized OfficialNameFuller, Monique (Owner)Phone(318) 572-6473Provider TaxonomiesCodeDescriptionLicenseCode343900000XPrimaryDescriptionNon-emergency Medical Transport (VAN)Transportation ServicesLicenseUnlisted Issuer