# MTG CAPITAL OF WISCONSIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FirstLight Home Care of Northern Indianapolis and Suburbs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346864394
- **Authorized official:** DOUG GESKE (VP OF CLIENT SERVICES)
- **Authorized official phone:** (317) 601-8395

## Contact information

- **Practice address:** 13277 ILLINOIS ST STE 100, CARMEL, IN 46032-8601
- **Practice address phone:** (317) 601-8395
- **Practice address fax:** (317) 203-0707
- **Mailing address:** 13277 ILLINOIS ST STE 100, CARMEL, IN 46032-8601
- **Mailing address phone:** (317) 601-8395
- **Mailing address fax:** (317) 203-0707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2020
- **Last updated:** 06/05/2020