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Organization
POLK NURSING HOME LIMITED PARTNERSHIP
Active
Organization
POLK NURSING HOME LIMITED PARTNERSHIP
Active
Other names
Timberwood Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HIMMEL (CEO)
(512) 458-5707
Entity
Organization
Contact information
Practice address
6633 E HIGHWAY 290, SUITE # 202, AUSTIN, TX 78723-1172
(512) 458-5707
(512) 458-5751
Mailing address
RR 2, HIGHWAY 59 NORTH BYPASS, LIVINGSTON, TX 77351-9802
(936) 327-4446
(936) 327-8435
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
113278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH2664
BCBS OF TEXAS
TX
Enumeration date
10/06/2005
Last updated
08/22/2020
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