Magic City Enterprises, Inc
LBN: Magic City Enterprises, Inc
Magic City Enterprises, Inc is an health care organization with primary practice located at 1780 Westland Rd , Cheyenne WY 82001-3322. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Day Training, Developmentally Disabled Services. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Magic City Enterprises, Inc can be contacted via phone (307) 637-8869, or through Liley, Mandy Jane via phone (307) 637-8869.
Contact Information
Primary practice address
1780 Westland Rd
Cheyenne WY 82001-3322
Phone: (307) 637-8869
Fax: (307) 638-0467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Wyoming | |
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | Wyoming |
Profile Details
| NPI number | 1386819308 |
|---|---|
| LBN Legal business name | Magic City Enterprises, Inc |
| DBA Doing business as | |
| Authorized official | Liley, Mandy Jane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 30th, 2008 |
| Last updated | Nov 17th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386819308 | NPPES |
| Wyoming | MEDICAID | 100132911 | |
| Wyoming | MEDICAID | 100132912 | |
| Wyoming | MEDICAID | 100132901 |
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