Med Group Home Health Care Agency

NPI #1609147958 in Mequon, Wisconsin

Provider Information

NPI Number: 1609147958
Entity Type: Organization
Organization Name: Med Group Home Health Care Agency
Primary Specialty: Home Health
Enumeration Date: Jan 18, 2012
Last Updated: Sep 25, 2014

Practice Location

Address: 11402 N PORT WASHINGTON RD
Address 2: SUITE 214 B
City: Mequon
State: Wisconsin
ZIP Code: 53092-3447
Phone: (414) 755-2009

Authorized Official

Name: DARIKO MEKVABISHVILI
Title: PRESIDENT
Phone: (414) 745-3146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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