# MTG CAPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942867429
- **Authorized official:** MR. MATTHEW THOMAS GESKE (PRESIDENT)
- **Authorized official phone:** (262) 751-1434

## Contact information

- **Practice address:** 13277 ILLINOIS ST STE 100, CARMEL, IN 46032-8601
- **Practice address phone:** (262) 751-1434
- **Mailing address:** 17360 WEST LN, BROOKFIELD, WI 53045-4333
- **Mailing address phone:** (262) 751-1434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/21/2019
- **Last updated:** 05/21/2019