# ATHENA LEASING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dimmitt Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073706362
- **Authorized official:** GERRY DWAIN FOWLER (MANAGING PARTNER)
- **Authorized official phone:** (972) 355-4957

## Contact information

- **Practice address:** 1621 BUTLER DR, DIMMITT, TX 79027-2701
- **Practice address phone:** (806) 647-3117
- **Mailing address:** 1001 CROSS TIMBERS RD, SUITE 1060, FLOWER MOUND, TX 75028-1371
- **Mailing address phone:** (972) 355-4957

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 4948 | TX | Yes |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 08/21/2007