Organization
POLK COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P THOMPSON (COUNTY JUDE)
(936) 327-6830
Entity
Organization
Contact information
Practice address
602 E CHURCH ST STE 145, LIVINGSTON, TX 77351-4231
(936) 327-6830
(936) 327-6873
Mailing address
602 E CHURCH ST STE 145, LIVINGSTON, TX 77351-4231
(936) 327-6830
(936) 327-6873
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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