Organization
MAGNA HEALTH CARE INC
Active
Other names
MAGNA COMMUNITY LIVING SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD AGBASI (PRESIDENT/CEO)
(918) 459-5074
Entity
Organization
Contact information
Practice address
4271 W ALBANY ST, BROKEN ARROW, OK 74012-1233
(918) 459-5074
(918) 459-5075
Mailing address
4271 W ALBANY ST, BROKEN ARROW, OK 74012-1233
(918) 459-5074
(918) 459-5075
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100634480C
—
OK
05
—
100634480H
—
OK
05
—
100634480J
—
OK
05
—
100634480K
—
OK
05
—
100634480L
—
OK
05
—
100634480M
—
OK
Enumeration date
03/22/2007
Last updated
03/13/2023
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