Whalio Doctors

NPI 1437319514

Polk County Board of County Commissioners

Organisation Alzheimer Center (Dementia Center) Lakeland, FL

Practice location

Address
1200 Southern Ave, Lakeland, FL 33815-3976
Phone
(863) 499-2606
Mailing address
2135 Marshall Edwards Dr, Bartow, FL 33830-6757

Authorised official

Name
Samuel (sam) Johnson
Title
Chairman
Phone
(863) 534-6049

Registered specialties

Alzheimer Center (Dementia Center) Primary
Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 391 (FL)

Registry record

NPI
1437319514
Entity type
Organization
NPI issued
12 Jun 2008
Record last updated
12 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.