| Organization Name: | POLK REHABILITATION INC |
| NPI Number: | 1376712307 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | YOLANDA LUIS FUENTES (PRESIDENT) |
| Mailing Address: | 1326 State Road 60 E Suite 200 Lake Wales |
| State: | FL US |
| Postal Code: | 338534322 |
| Phone Number: | 8636793545 |
| Fax Number: | |
| NPI Enumeration Date: | 02/25/2008 |
| NPI Last Update Date: | 03/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0401X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Taxonomy Definition: | |