# POLK NURSING HOME LIMITED PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Timberwood Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487641296
- **Authorized official:** MR. MARK HIMMEL (CEO)
- **Authorized official phone:** (512) 458-5707

## Contact information

- **Practice address:** 6633 E HIGHWAY 290, SUITE \# 202, AUSTIN, TX 78723-1172
- **Practice address phone:** (512) 458-5707
- **Practice address fax:** (512) 458-5751
- **Mailing address:** RR 2, HIGHWAY 59 NORTH BYPASS, LIVINGSTON, TX 77351-9802
- **Mailing address phone:** (936) 327-4446
- **Mailing address fax:** (936) 327-8435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 113278 | TX | Yes |

## Other

- **Enumeration date:** 10/06/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | HH2664 | BCBS OF TEXAS | TX |