Magic City Enterprises
Magic City Enterprises is an Intellectual Disabilities Intermediate Care Facility in Cheyenne, Wyoming. Licensed in Wyoming. Registered with an NPI since 2015.
- Licensed in
- WY
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
1780 Westland RdCheyenne, WY 82001-3322
Phone: (307) 637-8869
Fax: (307) 638-0467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 1194895359 (WY) |
|---|---|
| Intellectual Disabilities Intermediate Care Facility | Taxonomy 315P00000X · Licence 1194895359 (WY) |
| Physical Disabilities Residential Treatment Facility | Taxonomy 320700000X · Licence 1194895359 (WY) |
Record details
| NPI number | 1457744724 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mandy Liley — Business Manager · (307) 637-8869 |
| NPI enumerated | March 11, 2015 |
| Last updated in NPPES | March 11, 2015 |
| Mailing address | 1780 Westland Rd, Cheyenne, WY 82001-3322 |