NPI 1760521371
M'Agine Support Services, LLC
Practice location
- Address
- 6102 Ayers St STE 102, Corpus Christi, TX 78415-5697
- Phone
- (361) 851-0311
- Fax
- (361) 851-0990
Authorised official
- Name
- Rodolfo Moreno
- Title
- Administrator
- Phone
- (361) 851-0311
Registered specialties (2)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Case Management Agency
Registry record
- NPI
- 1760521371
- Entity type
- Organization
- NPI issued
- 6 Feb 2007
- Record last updated
- 23 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.