| NPI | 1306398110 |
|---|---|
| Doing Business As | MED GROUP HOME HEALTH CARE AGENCY |
| Entity Type | Organization |
| Authorized Contact | DARIKO MEKVABISHVILI Owner 414-755-2103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: WI 1194) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |