Organization
POLK REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA LUIS FUENTES (PRESIDENT)
(786) 370-4835
Entity
Organization
Contact information
Practice address
1326 STATE ROAD 60 E, SUITE 200, LAKE WALES, FL 33853-4322
(863) 679-3545
Mailing address
1326 STATE ROAD 60 E, SUITE 200, LAKE WALES, FL 33853-4322
(863) 679-3545
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
03/13/2008
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