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NPI Code Detail

MEDICARE: FE DEERE INC

MEDICARE: FE DEERE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1578569158
Entity Type Code : Organization
Provider Name (Legal Business Name) : FE DEERE INC
Provider Business Mailing Address
First Line : 4838 HOLLY RD
Second Line : STE 201
City : CORPUS CHRISTI
State : TX
Zip : 78411-4754
Country : US
Telephone Number : 361-991-9021
Fax Number : 361-991-9162
Provider Business Practice Location Address
First Line : 801 CANTWELL LN
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78408-2605
Country : US
Telephone Number : 361-882-4284
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. FRANCIS E DEERE
Credential :
Telephone Number : 361-991-9021
Provider Enumeration Date : 06/28/2005
Last Update Date : 07/17/2007

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