# POLK COUNTY ELDERLY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942441787
- **Authorized official:** MS. HOPE JONES (DIRECTOR OF ELDERLY SERVICES)
- **Authorized official phone:** (863) 534-5548

## Contact information

- **Practice address:** 1290 GOLFVIEW AVE, BARTOW, FL 33830-6703
- **Practice address phone:** (863) 534-5548
- **Practice address fax:** (863) 534-0314
- **Mailing address:** PO BOX 9005, DRAWER HS06, BARTOW, FL 33831-9005
- **Mailing address phone:** (863) 534-5548
- **Mailing address fax:** (863) 534-0314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 080429100 | FL | — |
| 251B00000X | Case Management Agency | 670725400 | FL | Yes |
| 251B00000X | Case Management Agency | 670725401 | FL | — |
| 251B00000X | Case Management Agency | 670725468 | FL | — |

## Other

- **Enumeration date:** 03/06/2009
- **Last updated:** 03/06/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080429100 | PROVIDER NUMBER FOR HIV MED WAIVER | FL |
| 01 | — | 670725400 | PROVIDER NUMBER FOR ADA, ADHC, AND MEALS FOR MED WAIVER | FL |
| 01 | — | 670725401 | PROVIDER NUMBER FOR ASSITED LIVING WAIVER | FL |
| 01 | — | 670725468 | PROVIDER NUMBER FOR CDC CASE MANAGEMENT | FL |