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Latonya Polk
Adult Day Care Clinic/Center in White Oak, Texas
NPI 1861551814

Latonya Polk is an Adult Day Care Clinic/Center based in Longview, TX and is specialized in Adult Day Care. Latonya Polk practices in White Oak, TX. The NPI Number for Latonya Polk is 1861551814 and holds a License No. (Texas).

The current practice location address for Latonya Polk is 205 E Us Highway 80, White Oak, TX and can be reached out via phone at 903-297-4959 and via fax at 903-297-4999.

Location: 205 E Us Highway 80, White Oak, TX, 75607-8664
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861551814
Provider Name
Latonya Polk
Credential
Provider Entity Type
Individual
Gender
Female
Address
205 E Us Highway 80, White Oak, TX, 75607-8664
Phone Number
903-297-4959
Fax Number
903-297-4999
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
205 E Us Highway 80
City
White Oak
State
Texas
Zip
75693-2103
Phone Number
903-297-4959
Fax Number
903-297-4999
person
Provider Business Mailing Address Details
Address
205 E Us Highway 80
City
White Oak
State
Texas
Zip
75693-2103
Phone Number
903-297-4959
Fax Number
903-297-4999
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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