Aphrodite Leasing LLC

Organization Active NPI Skilled Nursing Facility · Spur, TX

NPI 1679773170 · NPPES record last updated Jan 31, 2008

Key facts

NPI
1679773170
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
4312 (TX)
Legal business name
APHRODITE LEASING LLC
Practice address
905 East Hill Street
Spur, TX 79370-2532
Phone
(214) 912-4539
NPI assigned
Jul 23, 2007
Organization subpart
No

Authorized official

Name
Mr. Gerald Dwain Fowler
Title
President
Phone
(214) 912-4539

National Provider Directory

Locations

905 E Hill St
Spur, TX 79370
Phone (214) 912-4539

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4312 TX Yes

Addresses

Primary practice location

905 East Hill Street
Spur, TX 79370-2532

Mailing address

905 East Hill Street
Spur, TX 79370-2532
Phone (214) 912-4539

Other names

  • White River Care Center Doing business as

Other providers in Spur, TX

All providers in Spur, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.