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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