Organization
MAGIC CITY ENTERPRISES
Active
Organization
MAGIC CITY ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA LEE MCKINNEY (PRESIDENT CEO)
(307) 637-8869
Entity
Organization
Contact information
Practice address
540 MELTON ST APT 4, CHEYENNE, WY 82009-4753
(307) 220-2010
Mailing address
540 MELTON ST APT 4, CHEYENNE, WY 82009-4753
(307) 220-2010
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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