Organization
MTG CAPITAL OF WISCONSIN LLC
Active
Other names
FirstLight Home Care of Northern Indianapolis and Suburbs
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG GESKE (VP OF CLIENT SERVICES)
(317) 601-8395
Entity
Organization
Contact information
Practice address
13277 ILLINOIS ST STE 100, CARMEL, IN 46032-8601
(317) 601-8395
(317) 203-0707
Mailing address
13277 ILLINOIS ST STE 100, CARMEL, IN 46032-8601
(317) 601-8395
(317) 203-0707
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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