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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