Organization
MCM JR INSURANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY MANLEY (PRESIDENT)
(402) 391-1656
Entity
Organization
Contact information
Practice address
12111 ANNE ST, OMAHA, NE 68137-2007
(402) 391-1656
Mailing address
12111 ANNE ST, OMAHA, NE 68137-2007
(402) 391-1656
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
9723392
NE
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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