Organization
APHRODITE LEASING LLC
Active
Other names
White River Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD DWAIN FOWLER (PRESIDENT)
(214) 912-4539
Entity
Organization
Contact information
Practice address
905 EAST HILL STREET, SPUR, TX 79370-2532
(214) 912-4539
Mailing address
905 EAST HILL STREET, SPUR, TX 79370-2532
(214) 912-4539
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4312
TX
Other
Enumeration date
07/23/2007
Last updated
01/31/2008
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