Magic City Enterprises

NPI #1629406269 in Cheyenne, Wyoming

Provider Information

NPI Number: 1629406269
Entity Type: Organization
Organization Name: Magic City Enterprises
Primary Specialty: Case Management
Enumeration Date: Oct 16, 2013
Last Updated: Oct 16, 2013

Practice Location

Address: 540 MELTON ST APT 4
City: Cheyenne
State: Wyoming
ZIP Code: 82009-4753
Phone: (307) 220-2010

Authorized Official

Name: MRS. LAURA LEE MCKINNEY
Title: PRESIDENT CEO
Phone: (307) 637-8869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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