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1609147958
MED GROUP HOME HEALTH CARE AGENCY
MEQUON, WI
NPI
1609147958
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Entity Type
Organization
Authorized Contact
DARIKO MEKVABISHVILI
President
414-745-3146
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2012-01-18
Last Update Date
2014-09-25
Business Address
MED GROUP HOME HEALTH CARE AGENCY
11402 N PORT WASHINGTON RD SUITE 214 B
MEQUON, WI 53092-3447
Phone number: 414-755-2009
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Mailing Address
MED GROUP HOME HEALTH CARE AGENCY
2111 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212-3101
Phone number: 414-755-2103
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