Organization
MAGIC CITY ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN MARIE MCKINNEY (CASE MANAGER)
(307) 220-2010
Entity
Organization
Contact information
Practice address
1780 WESTLAND RD, CHEYENNE, WY 82001-3322
(307) 637-8869
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
11/08/2013
Last updated
11/08/2013
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