Organization
POLK COUNTY BOCC ELDERLY SERVICES DIVISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HOPE LAYNE JONES RN (DIVISION DIRECTOR)
(863) 534-5548
Entity
Organization
Contact information
Practice address
1290 GOLFVIEW AVE, BARTOW, FL 33830-6738
(863) 534-5320
(863) 534-0314
Mailing address
1290 GOLFVIEW AVE, BARTOW, FL 33830-6738
(863) 534-5320
(863) 534-0314
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
088150300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088150300
—
FL
Enumeration date
03/27/2007
Last updated
11/07/2007
Update your record
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