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Organization
ATHENA LEASING LLC
Active
Organization
ATHENA LEASING LLC
Active
Other names
Georgia Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERRY FOWLER (PRESIDENT)
(972) 355-4957
Entity
Organization
Contact information
Practice address
2611 W 46TH AVE, AMARILLO, TX 79110-1735
(806) 355-6517
Mailing address
1001 CROSS TIMBERS RD, SUITE 2275, FLOWER MOUND, TX 75028-1371
(972) 355-4957
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4604
TX
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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