Organization
NEBRASKA TOTAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA ARCHER (VICE PRESIDENT, BOARD SECRETARY)
(813) 206-1393
Entity
Organization
Contact information
Practice address
7700 FORSYTH BLVD, SAINT LOUIS, MO 63105-1807
(813) 206-1393
Mailing address
7700 FORSYTH BLVD, SAINT LOUIS, MO 63105-1807
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
05/24/2024
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