Organization
POLK COUNTY BOARD OF COUNTY COMMISSIONERS
Active
Other names
CHARLES R. RICHARDSON ADULT DAY CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL (SAM) JOHNSON (CHAIRMAN)
(863) 534-6049
Entity
Organization
Contact information
Practice address
615 N JACKSON AVE, BARTOW, FL 33830-3813
(863) 534-0393
Mailing address
2135 MARSHALL EDWARDS DR, BARTOW, FL 33830-6757
(863) 534-5659
(863) 534-5678
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
390
FL
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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