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MAGIC CITY ENTERPRISES INC NPI 1194895359


NPI Information

NPI: 1194895359
Provider Name: MAGIC CITY ENTERPRISES, INC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
1780 WESTLAND RD
CHEYENNE, WY
ZIP 82001
Phone: (307) 637-8869
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MAGIC CITY ENTERPRISES, INC is a day training developmentally disabled services in Cheyenne, WY. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. MAGIC CITY ENTERPRISES, INC NPI is 1194895359. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1780 WESTLAND RD
CHEYENNE, WY
ZIP 82001-322
Phone: (307) 637-8869
Fax: (307) 638-0467

The provider's authorized official is Mandy Jane Liley .
The authorized official title is Vice President Of Business Services and has the following contact phone number (307) 637-8869.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 9/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalWYOMINGNo
2251C00000XDay Training, Developmentally Disabled ServicesWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100132901MEDICAIDWYOMING
2100132912MEDICAIDWYOMING
3100132911MEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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