Organization
MED GROUP HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARIKO MEKVABISHVILI (PRESIDENT)
(414) 755-2009
Entity
Organization
Contact information
Practice address
11051 N TOWNE SQUARE RD, MEQUON, WI 53092-5051
(414) 755-2009
(414) 755-1767
Mailing address
11051 N TOWNE SQUARE RD, MEQUON, WI 53092-5051
(414) 755-2009
(414) 755-1767
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
12/21/2015
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