# POLK COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699024653
- **Authorized official:** MR. JOHN P THOMPSON (COUNTY JUDE)
- **Authorized official phone:** (936) 327-6830

## Contact information

- **Practice address:** 602 E CHURCH ST STE 145, LIVINGSTON, TX 77351-4231
- **Practice address phone:** (936) 327-6830
- **Practice address fax:** (936) 327-6873
- **Mailing address:** 602 E CHURCH ST STE 145, LIVINGSTON, TX 77351-4231
- **Mailing address phone:** (936) 327-6830
- **Mailing address fax:** (936) 327-6873

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332U00000X | Home Delivered Meals | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2012
- **Last updated:** 09/06/2012