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Organization
ATHENA LEASING, LLC
Active
Organization
ATHENA LEASING, LLC
Active
Other names
Dimmitt Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
GERRY DWAIN FOWLER (MANAGING PARTNER)
(972) 355-4957
Entity
Organization
Contact information
Practice address
1621 BUTLER DR, DIMMITT, TX 79027-2701
(806) 647-3117
Mailing address
1001 CROSS TIMBERS RD, SUITE 1060, FLOWER MOUND, TX 75028-1371
(972) 355-4957
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4948
TX
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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