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Organization

POLK COUNTY ELDERLY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. HOPE JONES (DIRECTOR OF ELDERLY SERVICES)
(863) 534-5548
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
080429100
FL
251B00000X
Case Management Agency
Primary
670725400
FL
251B00000X
Case Management Agency
670725401
FL
251B00000X
Case Management Agency
670725468
FL

Other

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
Enumeration date
03/06/2009
Last updated
03/06/2009
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