| NPI | 1629194626 |
|---|---|
| Doing Business As | MAGNA COMMUNITY LIVING SERVICES |
| Entity Type | Organization |
| Authorized Contact | LEONARD AGBASI Director 918-459-5074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |