Organization
ALL IN ADULT FAMILY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIKO MEKVABISHVILI (PRESIDENT)
(414) 745-3146
Entity
Organization
Contact information
Practice address
4354 N 29TH ST, MILWAUKEE, WI 53216-1820
(414) 431-5555
Mailing address
11051 N TOWNE SQUARE RD, MEQUON, WI 53092-5051
(414) 431-5555
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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