Provider Demographics
NPI:1366448946
Name:FE DEERE INC
Entity Type:Organization
Organization Name:FE DEERE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:DEERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-991-9021
Mailing Address - Street 1:4838 HOLLY RD
Mailing Address - Street 2:STE 201
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4754
Mailing Address - Country:US
Mailing Address - Phone:361-991-9021
Mailing Address - Fax:
Practice Address - Street 1:936 W 4TH ST
Practice Address - Street 2:
Practice Address - City:SINTON
Practice Address - State:TX
Practice Address - Zip Code:78387-3207
Practice Address - Country:US
Practice Address - Phone:361-364-3478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-28
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX675719Medicare ID - Type Unspecified
675719Medicare Oscar/Certification