# POLK COUNTY BOARD OF COUNTY COMMISSIONERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HAINES CITY ADULT DAY CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720248800
- **Authorized official:** MR. SAMUEL (SAM) JOHNSON (CHAIRMAN)
- **Authorized official phone:** (863) 534-6049

## Contact information

- **Practice address:** 751 SCENIC HWY, HAINES CITY, FL 33844-7500
- **Practice address phone:** (863) 421-3369
- **Mailing address:** 2135 MARSHALL EDWARDS DR, BARTOW, FL 33830-6757
- **Mailing address phone:** (863) 534-5659
- **Mailing address fax:** (863) 534-5678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 8759 | FL | Yes |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 06/12/2008