NPI 1366711269

North Star Complete Home and Health Care

Organisation Custodial Care Facility Port Saint Lucie, FL

Practice location

Address: 238 SE Whitmore Dr, Port Saint Lucie, FL 34984-3740
Phone: (414) 305-5714

Authorised official

Name: Gwenda Lynn Kulcsar
Title: Owner
Phone: (414) 305-5714

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 245874 (FL)

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Registry record

NPI: 1366711269
Entity type: Organization
NPI issued: 21 Dec 2011
Record last updated: 21 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.