POLK COUNTY BOARD OF COUNTY COMMISSIONERS
Alzheimer Center
Bartow, Florida
Provider NPI: 1467610329
Organization Information:Organization Name: POLK COUNTY BOARD OF COUNTY COMMISSIONERS
Practice Location:
2135 MARSHALL EDWARDS DR BARTOW, FL 33830 US
Tel: 863-534-5229 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2135 MARSHALL EDWARDS DR BARTOW, FL 33830 US
Tel: 863-534-5229 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | FL |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
UNIVERSAL HEALTH CARE COMMUNITY DIVERSION PROGRAM | 13157 | FL | 01 |
EVERCARE HEALTH & HOME CONNECTION | 60-01544 | FL | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin