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1508173139
MED GROUP HOME HEALTH CARE, LLC
MEQUON, WI
NPI
1508173139
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Entity Type
Organization
Authorized Contact
DARIKO MEKVABISHVILI
President
414-755-2009
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2010-09-02
Last Update Date
2015-12-21
Business Address
MED GROUP HOME HEALTH CARE, LLC
11051 N TOWNE SQUARE RD
MEQUON, WI 53092-5051
Phone number: 414-755-2009
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Mailing Address
MED GROUP HOME HEALTH CARE, LLC
11051 N TOWNE SQUARE RD
MEQUON, WI 53092-5051
Phone number: 414-755-2009
Copy
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