# POLK COUNTY BOARD OF COUNTY COMMISSIONERS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ADULT DAY CARE CENTERS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467610329
- **Authorized official:** MR. SAMUEL (SAM) JOHNSON (CHAIRMAN)
- **Authorized official phone:** (863) 534-6049

## Contact information

- **Practice address:** 2135 MARSHALL EDWARDS DR, BARTOW, FL 33830-6757
- **Practice address phone:** (863) 534-5229
- **Mailing address:** 2135 MARSHALL EDWARDS DR, BARTOW, FL 33830-6757
- **Mailing address phone:** (863) 534-5229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | FL | Yes |

## Other

- **Enumeration date:** 05/28/2008
- **Last updated:** 05/28/2008
