Organization
NORTH STAR COMPLETE HOME AND HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWENDA LYNN KULCSAR (OWNER)
(414) 305-5714
Entity
Organization
Contact information
Practice address
238 SE WHITMORE DR, PORT SAINT LUCIE, FL 34984-3740
(414) 305-5714
Mailing address
238 SE WHITMORE DR, PORT SAINT LUCIE, FL 34984-3740
(414) 305-5714
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
245874
FL
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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