Med Group Home Health Care Agency LLC

NPI #1306398110 in Mequon, Wisconsin

Provider Information

NPI Number: 1306398110
Entity Type: Organization
Organization Name: Med Group Home Health Care Agency LLC
Primary Specialty: Home Health
Enumeration Date: Oct 27, 2016
Last Updated: Oct 27, 2016

Practice Location

Address: 11053 N TOWNE SQUARE RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-5051
Phone: (414) 755-2103

Authorized Official

Name: DARIKO MEKVABISHVILI
Title: OWNER
Phone: (414) 755-2103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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