Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareMAGIC CITY ENTERPRISES
Intermediate Care Facility, Mentally Retarded
Cheyenne, Wyoming
Provider NPI: 1457744724
Organization Information:Organization Name: MAGIC CITY ENTERPRISES
Practice Location:
1780 WESTLAND RD CHEYENNE, WY 82001 US
Tel: 307-637-8869 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1780 WESTLAND RD CHEYENNE, WY 82001 US
Tel: 307-637-8869 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | WY | 1194895359 |
| N | 320700000X | Residential Treatment Facilities Residential Treatment Facility, Physical Disabilities | WY | 1194895359 |
| Y | 320600000X | Residential Treatment Facilities Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | WY | 1194895359 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1194895359 | WY | 05 | |
| MEDICARE PTAN | W21288 | WY | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin